Individual
MR. KEVIN P KALNOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
864 JAY ST, LEBANON, PA 17046-1924
(717) 454-8379
(717) 560-2044
Mailing address
864 JAY ST, LEBANON, PA 17046-1924
(717) 454-8379
(717) 560-2044
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012141
PA
Other
Enumeration date
09/26/2012
Last updated
06/21/2019
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