Individual
LEEANN KAYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 EAST END BOULEVARD, WILKES BARRE, PA 18711
(570) 824-3521
Mailing address
304 RABBIT RUN, CLARKS GREEN, PA 18411-8876
(570) 618-2505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018295
PA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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