KELLY NICOLE EVANS

ALLENTOWN, PA
NPI1851628002
Former NameKELLY NICOLE LEA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: PA  MA057361)
Enumeration Date2009-11-09
Last Update Date2015-02-24
Business Address
-- KELLY NICOLE EVANS PA
250 CETRONIA RD
ALLENTOWN, PA 18104-9147
Phone number: 610-973-6200
Mailing Address
-- KELLY NICOLE EVANS PA
250 CETRONIA RD SUITE 303
ALLENTOWN, PA 18104-9147
Phone number: 610-973-6200