Individual
DR. KENNETH C. KILLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
520 S MAIN ST, OLD FORGE, PA 18518-1542
(570) 457-7855
(570) 457-3051
Mailing address
520 S MAIN ST, OLD FORGE, PA 18518-1542
(570) 457-7855
(570) 457-3051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-027075-L
PA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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