Individual
JOSHUA KILIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, CST, CSFA
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(850) 531-4554
Mailing address
PO BOX 850, HERSHEY, PA 17033-0850
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA064785
PA
Other
Enumeration date
08/09/2023
Last updated
09/26/2023
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