Individual provider · Type 1 NPI

Kelli Datres

Student in an Organized Health Care Education/Training Program · Williamsport, PA

NPI number 1245482520 Active

Practice location

1031 Bonair Drive
Williamsport, PA 17701

Call (570) 327-1098 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245482520

Kelli Datres's National Provider Identifier is 1245482520, issued on Oct 17, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Williamsport, PA. The record was last updated on Oct 17, 2008.