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Kelli Datres
Student in an Organized Health Care Education/Training Program in Williamsport, Pennsylvania
NPI 1245482520

Kelli Datres is a Student in an Organized Health Care Education/Training Program based in Williamsport, PA. Kelli Datres practices in Williamsport, PA. The NPI Number for Kelli Datres is 1245482520 and holds a License No. (Pennsylvania).

The current practice location address for Kelli Datres is 1031 Bonair Drive, Williamsport, PA and can be reached out via phone at 570-327-1098.

Location: 1031 Bonair Drive, Williamsport, PA, 17701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245482520
Provider Name
Kelli Datres
Credential
Provider Entity Type
Individual
Gender
Female
Address
1031 Bonair Drive, Williamsport, PA, 17701
Phone Number
570-327-1098
Fax Number
Provider Enumeration Date
10/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1031 Bonair Drive
City
Williamsport
State
Pennsylvania
Zip
17701
Phone Number
570-327-1098
Fax Number
person
Provider Business Mailing Address Details
Address
1031 Bonair Drive
City
Williamsport
State
Pennsylvania
Zip
17701
Phone Number
570-327-1098
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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