Search › Pennsylvania › 363A00000X
Kelly Mickulik, PA-C
NPI 1386643880 · on the registry since 2005
Practice
- Address
- 3317 Penn Ave
Reading, PA 19609 - Phone
- (610) 750-7891
- Fax
- (610) 750-7894
- Clinicians at this address
- 3
Additional practice sites
- 2210 Ridgewood Rd, Wyomissing, PA
- 2210 Ridgewood Rd, Wyomissing, PA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania