Individual
KIM CHRISTINE SUKOWASKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 N MAIN ST, PITTSTON, PA 18640-1915
(570) 655-0272
Mailing address
35 FLICK ST, WILKES BARRE, PA 18705-3603
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
RN589784
PA
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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