Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SHANNON CARUSO, DO
Active Sole ProprietorKELLY SHANNON CARUSO, DO is a Family Medicine healthcare provider located in LOYSVILLE, Pennsylvania. NPI 1629017322 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LOYSVILLE, PA
Registration Details
- NPI Number
- 1629017322
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2006 (20.181118458796 yrs)
- Last Updated
- Jan 28, 2016
- License
-
OS009531L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 MONTOUR RDLOYSVILLE, PA, 170479200Browse PA providers · Browse ZIP 17047
- Phone
- 7177893553
- Fax
- 7177893198
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LOYSVILLE, PA
| Name | Credential | NPI |
|---|---|---|
| JAMES J MARAKOWSKI | DO | 1730128950 |
| JOHN CARUSO | DO | 1912946617 |
| BENJAMIN LESLIE STEWART II | DO | 1558587253 |
| DONALD DAVID DANGLE | DO | 1003171141 |
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.