Individual
KELLY KARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
500 OSTRUM ST, FOUNTAIN HILL, PA 18015-1116
(484) 554-7530
Mailing address
2591 BAGLYOS CIR, C-44, BETHLEHEM, PA 18020-8043
(484) 554-7530
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
TMSG000365
PA
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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