Individual
DIXON KITONYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711-0027
(570) 808-7399
(570) 808-5942
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021817
PA
363LF0000X
Family Nurse Practitioner
SP021817
PA
Other
Enumeration date
06/24/2020
Last updated
11/17/2022
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