Individual
KIRK FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 MARKET ST STE 109, WILLIAMSPORT, PA 17701-6321
(570) 720-0275
(570) 720-0276
Mailing address
460 MARKET ST STE 109, WILLIAMSPORT, PA 17701-6321
(570) 720-0275
(570) 720-0276
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
28463601
PA
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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