Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HOLDREN (CAO)
(570) 271-5555
Entity
Organization
Contact information
Practice address
499 WYOMING AVE, KINGSTON, PA 18704-3602
(570) 283-2161
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-5555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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