person
Kelly M Boesch, CRNP
Pediatric Nurse Practitioner in Lebanon, Pennsylvania
NPI 1528492535

Kelly M Boesch is a Pediatric Nurse Practitioner based in Lebanon, PA and is specialized in Pediatrics. Kelly M Boesch practices in Lebanon, PA and has the professional credentials of CRNP. The NPI Number for Kelly M Boesch is 1528492535 and holds a License No. SP013294 (Pennsylvania).

The current practice location address for Kelly M Boesch is 618 Cornwall Rd, Lebanon, PA and can be reached out via phone at 717-279-6700 and via fax at 717-279-6759.

Location: 618 Cornwall Rd, Lebanon, PA, 17042-0300
person
Provider Profile Details
NPI Number
1528492535
Provider Name
Kelly M Boesch
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
618 Cornwall Rd, Lebanon, PA, 17042-0300
Phone Number
717-279-6700
Fax Number
717-279-6759
Provider Enumeration Date
08/27/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SP013294 01 PA LICENSE
102888103 0001 05 PA
institution
Provider Business Practice Location Address Details
Address
618 Cornwall Rd
City
State
Zip
17042-7089
Phone Number
717-279-6700
Fax Number
717-279-6759
person
Provider Business Mailing Address Details
Address
618 Cornwall Rd
City
State
Zip
17042-7089
Phone Number
717-279-6700
Fax Number
717-279-6759
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
SP013294 (Pennsylvania)
Definition
Definition to come...
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