Individual
ALEXIS KIEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 BALTIMORE DR, WILKES BARRE, PA 18702-7959
(000) 000-0000
Mailing address
12 MOSSY LN, SAYLORSBURG, PA 18353-8434
(570) 251-1863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP455079
PA
Other
Enumeration date
11/30/2020
Last updated
03/11/2025
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