Individual
KIRTI VENKATESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 147, HAGERSTOWN, MD 21742-6755
(301) 790-8750
Mailing address
1014 SHANNON DR S, GREENCASTLE, PA 17225-8529
(717) 494-1106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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