Individual
KATHARYN BANNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 REDBUD DR W, WHITEHALL, PA 18052-1952
(610) 739-8654
Mailing address
4150 REDBUD DR W, WHITEHALL, PA 18052-1952
(610) 739-8654
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SL015716
PA
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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