Organization · Type 2 NPI
KML 814 PLLC
Family Nurse Practitioner · Edinboro, PA
NPI number
1417720186
Active
Practice location
11185 Edinboro Rd Unit D
Edinboro, PA 16412-1080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1417720186
KML 814 PLLC's National Provider Identifier is 1417720186, issued on Nov 3, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Edinboro, PA. The record was last updated on Nov 3, 2023.