MRS. Kelly Marie Pesis, PA

NPI #1114073939 in Fort Knox, Kentucky

Provider Information

NPI Number
1114073939
Entity Type
Individual
Name
MRS. Kelly Marie Pesis, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jan 26, 2007
Last Updated
Nov 18, 2014

Practice Location

Address
289 IRELAND AVE
Address 2
IRELAND ARMY COMMUNITY HOSPITAL
ZIP Code
40121-5111
Phone
(502) 624-9007

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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