Individual
KATHLEEN MINERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.,
Contact information
Practice address
145 N 6TH ST, READING, PA 19601-3096
(610) 208-4558
Mailing address
454 S 4TH ST, HAMBURG, PA 19526-1306
(607) 759-7979
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS019616
PA
207Q00000X
Family Medicine Physician
OT016939
PA
Other
Enumeration date
05/31/2016
Last updated
08/15/2019
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