Individual
MRS. KIARA FETCKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1233 LINDEN VUE DR, CANONSBURG, PA 15317-9605
(412) 388-8042
Mailing address
130 CHARTIERS AVE., MCKEES ROCKS, PA 15136
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016548
PA
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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