Individual
DIANE MARIE KELCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
1084 ROUTE 315, WILKES BARRE, PA 18702
(570) 704-4118
Mailing address
1132 CEDAR HEAD RD, SUGARLOAF, PA 18249-3518
(570) 926-4145
(570) 463-4493
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
DF002745
PA
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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