Individual
DR. JOHN GARY KEMBERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 ROOSEVELT AVE, SELINSGROVE, PA 17870-7969
(570) 374-0151
(570) 374-0311
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS007226L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001250250
—
PA
Enumeration date
03/23/2006
Last updated
08/24/2020
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