Individual
MR. KEVIN R COLLERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 W OLIVE ST, STE 118, SCRANTON, PA 18508-2572
(570) 961-3823
(570) 207-5988
Mailing address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 961-3823
(570) 207-5988
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD421827
PA
Other
Enumeration date
12/19/2005
Last updated
07/30/2020
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