Individual
MISS KELLY MARIE KALOVCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1578 BUNTING ST, POTTSVILLE, PA 17901-8587
(570) 622-0200
(570) 622-8009
Mailing address
1578 BUNTING ST, POTTSVILLE, PA 17901-8587
(570) 622-0200
(570) 622-8009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD465191
PA
Other
Enumeration date
04/01/2016
Last updated
04/12/2024
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