Provider Demographics
NPI:1558885665
Name:ZUROSKI, KELSIE RENEE (RPH)
Entity Type:Individual
Prefix:DR
First Name:KELSIE
Middle Name:RENEE
Last Name:ZUROSKI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:KELSIE
Other - Middle Name:RENEE
Other - Last Name:CONSTABLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3425 LONG LEVEL RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSONBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15845-3221
Mailing Address - Country:US
Mailing Address - Phone:814-594-1512
Mailing Address - Fax:
Practice Address - Street 1:3425 LONG LEVEL RD
Practice Address - Street 2:
Practice Address - City:JOHNSONBURG
Practice Address - State:PA
Practice Address - Zip Code:15845-3221
Practice Address - Country:US
Practice Address - Phone:814-594-1512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449566183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist