Organization
KETASCLEPIUS LLC
Active
Other names
The Good drop
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WILSON (OFFICE MANAGER)
(727) 517-6524
Entity
Organization
Contact information
Practice address
824 MCALPINE ST STE 6, AVOCA, PA 18641-1104
(570) 701-6044
Mailing address
824 MCALPINE ST STE 6, AVOCA, PA 18641-1104
(570) 701-6044
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
04/17/2024
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