Individual
KYRENE M ZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 ST PAUL DRIVE, SUITE 202, CHAMBERSBURG, PA 17201-4221
(717) 217-6870
(717) 217-6945
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057195
PA
363AS0400X
Surgical Physician Assistant
MA057195
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103157918 0001
—
PA
Enumeration date
09/29/2014
Last updated
05/23/2023
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