Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY S. MICKULIK, PA-C
ActiveKELLY S. MICKULIK, PA-C is a Physician Assistant healthcare provider located in READING, Pennsylvania. NPI 1386643880 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · READING, PA
Registration Details
- NPI Number
- 1386643880
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2005 (21.055859919786 yrs)
- Last Updated
- Aug 29, 2018
- License
-
MA050888 (PA)
Practice Information
- Address
-
3317 PENN AVEREADING, PA, 196091436Browse PA providers · Browse ZIP 19609
- Phone
- 6107507891
- Fax
- 6107507894
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in READING, PA
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID J HARDINGER | PA-C | 1194723403 |
| MR. CHRISTOPHER M CUPITT | PA-C | 1265430227 |
| JENA PINKOS | PA | 1467443739 |
| JOSEPH CLAYTON KORSZNIAK | PAC | 1699784488 |
| DARON K MUELLER | PA-C | 1942315205 |
| MRS. MARYANN PITTELLO | PA-C | 1013008960 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.