KELLY LYNN MCGRATH

BLOOMINGTON, IN
NPI1407129414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002267A)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NC  0010-04175)
363A00000X Physician Assistant
(Licence: AL  789)
Enumeration Date2012-02-22
Last Update Date2020-06-23
Business Address
KELLY LYNN MCGRATH PA
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401-8368
Phone number: 812-333-2663
Mailing Address
KELLY LYNN MCGRATH PA
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401-8368
Phone number: 812-333-2663