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Individual

ALEXANDER KOKOLUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
512 BANK ST, BOWMANSTOWN, PA 18030-0010
(484) 526-2400
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP022696
PA

Other

Enumeration date
08/20/2021
Last updated
08/20/2021
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