Most Relevant Information
Provider Data
| NPI Number: | 1003210758 |
| Provider Name: | KELLY KATHLEEN LUTHER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | OA003347 |
Most Important Dates
| Enumeration Date: | 10/09/2014 |
| Last Updated: | 08/26/2020 |
Provider Practice Location
1630 N ATHERTON ST
STATE COLLEGE
PA
168031416
Practice Location Phone/Fax
| Phone: | 8142381279 |
| Fax: | 8142381929 |
Provider Mailing Location
100 N ACADEMY AVE
DANVILLE
PA
178224903
Provider Mailing Phone/Fax
| Phone: | 5702716144 |
| Fax: | 5702716578 |