Individual
KENNETH W TOMALAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3399 TRINDLE RD, CAMP HILL, PA 17011
(717) 761-5530
(717) 737-7197
Mailing address
3399 TRINDLE RD, CAMP HILL, PA 17011-4407
(717) 761-5530
(717) 737-7197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001178L
PA
Other
Enumeration date
08/01/2006
Last updated
11/01/2019
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