| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLY HAUMESSER | 1326753336 | 2024-10-13 |
Kelly Haumesser is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1326753336. Registration indicates Kelly Haumesser is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| Entity Type | Individual |
| Provider Name | Kelly Haumesser |
| Practice Office Address | 761 JOHNSONBURG RD STE 160 SAINT MARYS, PA US |
| Practice Office Telephone | 8147888777 |
| Practice Office Fax | 8147888770 |
| Mailing Address | 761 JOHNSONBURG RD STE 160 SAINT MARYS, PA 158573484 US |
| Business Telephone | 8145947458 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | MA065742
PA |
| MA065742 | OTHER | PA | STATE BOARD OF |
| OA006939 | OTHER | PA | STATE BOARD OF |