Provider Demographics
NPI:1942960117
Name:FERREE, KELLY
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:FERREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-356-4240
Mailing Address - Fax:717-356-4241
Practice Address - Street 1:717 TOWN CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-4824
Practice Address - Country:US
Practice Address - Phone:717-356-4240
Practice Address - Fax:717-356-4241
Is Sole Proprietor?:No
Enumeration Date:2021-12-29
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP25241363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily