Organization
ALTERNAMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN DUZICK KEPNER MSN, CRNP (OWNER)
(570) 875-2308
Entity
Organization
Contact information
Practice address
913 CENTRE ST, ASHLAND, PA 17921-1243
(570) 875-2308
(570) 875-3721
Mailing address
913 CENTRE ST, ASHLAND, PA 17921-1243
(570) 875-2308
(570) 875-3721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
VP004067B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831192772
INDIVIDUAL NPI
—
Enumeration date
05/24/2005
Last updated
10/22/2007
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