Provider Demographics
NPI:1275703209
Name:ZBANIC, KELLY ANN (DO)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:ANN
Last Name:ZBANIC
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:ANN
Other - Last Name:ARBLASTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:25 HECKEL RD
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1651
Mailing Address - Country:US
Mailing Address - Phone:727-710-3900
Mailing Address - Fax:
Practice Address - Street 1:500 MEDICAL ARTS BLDG STE 540
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-7137
Practice Address - Country:US
Practice Address - Phone:724-543-4942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS017098208600000X
FLOS10314208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery