Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelli Marie Mikolosko, CRNA

Individual provider Registered Nurse · NPI 1417184268

Kelli Marie Mikolosko, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Allentown, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
17
Licensed in
PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone: (610) 402-9099
Fax: (610) 402-9029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 082609 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN-564095 (PA)

Record details

NPI number1417184268
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 19, 2009
Last updated in NPPESMarch 25, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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