Most Relevant Information
Provider Data
| NPI Number: | 1003393224 |
| Provider Name: | KELLY M EMERSON CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN602996 |
Most Important Dates
| Enumeration Date: | 07/20/2018 |
| Last Updated: | 07/20/2018 |
Provider Practice Location
508 S CHURCH ST
MT PLEASANT
PA
156661702
Practice Location Phone/Fax
| Phone: | 7245471636 |
| Fax: | 7245471762 |
Provider Mailing Location
520 JEFFERSON AVE STE 400
JEANNETTE
PA
156442538
Provider Mailing Phone/Fax
| Phone: | 7246891822 |
| Fax: | 7245224002 |