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NPI Code Detail

MEDICARE: KELLY WARSHEL MD

MEDICARE: KELLY WARSHEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD060939LPA

General Provider Information

NPI Number : 1205829637
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY WARSHEL MD
Provider Business Mailing Address
First Line : 600 SOMERSET AVE
Second Line :
City : WINDBER
State : PA
Zip : 15963-1331
Country : US
Telephone Number : 814-467-9922
Fax Number : 814-467-8550
Provider Business Practice Location Address
First Line : 600 SOMERSET AVE
Second Line :
City : WINDBER
State : PA
Zip : 15963-1331
Country : US
Telephone Number : 814-467-9922
Fax Number : 814-467-8550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 07/08/2007

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Directions to “ KELLY WARSHEL MD” Practice Location

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