Individual
MICHAEL KESSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 NEVADA DR, KULPMONT, PA 17834-1960
(570) 271-5594
Mailing address
119 NEVADA DR, KULPMONT, PA 17834-1960
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP448040
PA
Other
Enumeration date
06/11/2014
Last updated
03/26/2024
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