Individual
KIERSTEN LEIGH BETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT (R), PA-C
Contact information
Practice address
1020 THOMPSON ST, JERSEY SHORE, PA 17740-1729
(507) 398-0100
(570) 398-4412
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(507) 398-0100
(570) 398-4412
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064633
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041908190001
—
PA
Enumeration date
03/28/2023
Last updated
09/04/2025
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