Individual
KATHLEEN CHUPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
256 SCHUYLER AVE, KINGSTON, PA 18704-3322
(570) 283-5917
Mailing address
70 E OVERBROOK RD, SHAVERTOWN, PA 18708-1111
(570) 690-6786
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT006313L
PA
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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