Individual
CORINNA JAY KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1141 MOOSIC ST, SCRANTON, PA 18505-2105
(570) 348-1101
(570) 348-6194
Mailing address
130 CAROL DR, CLARKS SUMMIT, PA 18411-1922
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055355
PA
Other
Enumeration date
12/26/2011
Last updated
01/10/2017
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