KELLY LEESE MISERENDINO PAC NPI 1417351958

NPI Information

NPI: 1417351958
Provider Name: KELLY LEESE MISERENDINO, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
228 SAINT CHARLES WAY STE 300
YORK, PA
ZIP 17402
Phone: (717) 812-5400
Get Directions

Kelly Leese Miserendino, PAC is a medical physician assistant in York, PA with 10 years of experience. Kelly Leese Miserendino, PAC NPI is 1417351958. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

228 SAINT CHARLES WAY STE 300
YORK, PA
ZIP 17402-661
Phone: (717) 812-5400
Fax: (717) 741-3598

The NPI 1417351958 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2014 and was last updated on 2/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	0110006374	VIRGINIA	No
2	363AM0700X	Physician Assistant	Medical	MA057146	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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