Individual
DIANE KENGERSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
225 SOUTH ST, RIDGWAY, PA 15853-2033
(814) 772-2363
(814) 772-3044
Mailing address
225 SOUTH ST, RIDGWAY, PA 15853-2033
(814) 772-2363
(814) 772-3044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA050708
PA
Other
Enumeration date
06/19/2006
Last updated
07/09/2007
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