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Contact Information

KELSEY WALL
960 CENTURY DR
MECHANICSBURG, PA17055-4530
 Phone: 717-480-6785
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for KELSEY WALL · (Female)

NPI # 1346783156
Status Active
Credentials
Entity Individual
Enumeration date 11/28/2016
Last updated 03/08/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • PA Medicaid 100777740
  • PA Medicaid 1029202560005
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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