Provider Demographics
NPI:1821435041
Name:PAPPAS, KELSEY O, (MD)
Entity type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:O,
Last Name:PAPPAS
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Gender:
Credentials:MD
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Mailing Address - Street 1:99 MASONIC DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-2547
Mailing Address - Country:US
Mailing Address - Phone:717-689-4243
Mailing Address - Fax:717-689-1950
Practice Address - Street 1:99 MASONIC DR
Practice Address - Street 2:SUITE 101
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-2547
Practice Address - Country:US
Practice Address - Phone:717-689-4243
Practice Address - Fax:717-689-1950
Is Sole Proprietor?:No
Enumeration Date:2013-05-29
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD466134207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine