Provider Demographics
NPI:1053912170
Name:BARRETT, KALEY ELIZABETH (CRNP)
Entity type:Individual
Prefix:MRS
First Name:KALEY
Middle Name:ELIZABETH
Last Name:BARRETT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KALEY
Other - Middle Name:
Other - Last Name:BLATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:
Practice Address - Street 1:252 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-6111
Practice Address - Country:US
Practice Address - Phone:717-270-7732
Practice Address - Fax:717-270-7639
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022499363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily