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Organization
KEYSTONE SURGERY CENTER, LTD
Active
Organization
KEYSTONE SURGERY CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MONROE KIMMEL M.D., FACS (CEO/MEDICAL DIRECTOR)
(570) 622-1200
Entity
Organization
Contact information
Practice address
575 E NORWEGIAN ST, POTTSVILLE, PA 17901-3711
(570) 622-1200
(570) 622-7787
Mailing address
575 E NORWEGIAN ST, POTTSVILLE, PA 17901-3711
(570) 622-1200
(570) 622-7787
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16671501
PA
Other
Enumeration date
01/31/2006
Last updated
01/22/2009
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