Individual
KRISTIN WITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
GATEWAY HEALTH PLAN, 444 LIBERTY AVE, PITTSBURGH, PA 15222-1222
(412) 965-7361
Mailing address
364 GREENE DR, JEFFERSON HILLS, PA 15025-6315
(412) 965-7361
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH069302
PA
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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