KELLI K DESANCTIS

ERIE, PA
NPI1598057424
Former NameKELLI K WIENECKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OS016944)
Enumeration Date2011-05-11
Last Update Date2020-10-05
Business Address
KELLI K DESANCTIS DO
2501 W 12TH ST
ERIE, PA 16505-4527
Phone number: 814-461-6626
Mailing Address
KELLI K DESANCTIS DO
2501 W 12TH ST
ERIE, PA 16505-4527
Phone number: 814-461-6626