Individual
KAYLA VENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2599 PA-903, ALBRIGHTSVILLE, PA 18210
(570) 645-1945
Mailing address
PO BOX 403, KRESGEVILLE, PA 18333-0403
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA065851
PA
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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