Individual
NICOLE KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H, P.H.D.H.P
Contact information
Practice address
471 HEPBURN ST, WILLIAMSPORT, PA 17701-6122
(570) 567-5400
Mailing address
549 COLD WATERTOWN RD, WILLIAMSPORT, PA 17702-8101
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
PA
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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