Individual
DANIELLE KIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 WYOMING AVE STE 1, KINGSTON, PA 18704-3896
(570) 288-3633
Mailing address
23 CAYUGA PL, FORTY FORT, PA 18704-5001
(585) 919-4147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP453866
PA
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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