Individual
KELCI FLORENCE TKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
204 STATE RD, LEHIGHTON, PA 18235-2827
(610) 379-0443
(610) 379-4725
Mailing address
204 STATE RD, LEHIGHTON, PA 18235-2827
(610) 379-0443
(610) 379-4725
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056388
PA
Other
Enumeration date
09/23/2013
Last updated
02/12/2021
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