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Organization
VALLEYGATE SURGERY CENTER OF NE PA LLC
Active
Organization
VALLEYGATE SURGERY CENTER OF NE PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA KENNERSON (DIRECTOR OF STRATEGIC DEVELOPMENT)
(337) 356-7044
Entity
Organization
Contact information
Practice address
423 3RD AVE STE D, KINGSTON, PA 18704-5809
(337) 356-7044
Mailing address
2028 LITHO PL, FAYETTEVILLE, NC 28304-2537
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
—
NULL
207LP3000X
Pediatric Anesthesiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
NULL
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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