| Ms Kelly L Supan, PA-C | |
|
111 S Front St, Harrisburg, PA 17101-2010 | |
| (717) 988-0000 | |
| (717) 782-5716 |
| Full Name | Ms Kelly L Supan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 111 S Front St, Harrisburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215215603 | NPI | - | NPPES |
| 103142808 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA055024 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelly L Supan, PA-C 409 S 2nd St Ste 2f, Harrisburg, PA 17104-1612 Ph: (717) 988-0000 | Ms Kelly L Supan, PA-C 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 988-0000 |
Mrs. Nicole Elaine Shiley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6301 Grayson Rd, Suite 9, Harrisburg, PA 17111 Phone: 717-920-5910 Fax: 717-920-5916 | |
Maegan E Greenwade, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4200 Union Deposit Rd, Harrisburg, PA 17111 Phone: 717-558-6708 | |
Maria A. Trees, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 845 Sir Thomas Court, Suite 7, Harrisburg, PA 17109 Phone: 717-651-5800 | |
Chelsea Nace, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 820 Sir Thomas Ct, Harrisburg, PA 17109 Phone: 717-652-9555 Fax: 717-791-2621 | |
Mr. David L Hallock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5908 | |
Mrs. Marcia Herrell Sadler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716 | |
Loretta Harvey, PA-C, RD Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4315 Londonderry Rd, Harrisburg, PA 17109 Phone: 717-909-0290 Fax: 717-909-0292 |