# GEISINGER CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831140243
- **Authorized official:** KENNETH HOLDREN (CAO)
- **Authorized official phone:** (570) 271-5490

## Contact information

- **Practice address:** 1000 E MOUNTAIN DRIVE, WILKES BARRE, PA 18711
- **Practice address phone:** (570) 826-7300
- **Mailing address:** 100 N ACADEMY AVE, DANVILLE, PA 17822-3034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 364S00000X | Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 06/27/2008