Individual
KATY ERIN KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 DEWBERRY AVE, BETHLEHEM, PA 18017-4701
(919) 922-2403
Mailing address
619 DEWBERRY AVE, BETHLEHEM, PA 18017-4701
(919) 922-2403
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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