Organization
ALTERNAMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN DUZICK KEPNER CRNP (OWNER)
(570) 875-2308
Entity
Organization
Contact information
Practice address
913 CENTRE ST, ASHLAND, PA 17921-1243
(570) 875-2308
(570) 875-3721
Mailing address
913 CENTRE ST, ASHLAND, PA 17921-1243
(570) 875-2308
(570) 875-3721
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014256260002
—
PA
01
—
1235132176
GROUP NPI
PA
Enumeration date
05/02/2011
Last updated
05/02/2011
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