Organization
FERNAN FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEE M FERNAN D.O. (OWNER)
(814) 772-0722
Entity
Organization
Contact information
Practice address
200 S. MILL ST., RIDGWAY, PA 15853
(814) 772-0722
(814) 772-6934
Mailing address
200 S. MILL ST., RIDGWAY, PA 15853
(814) 772-0722
(814) 772-6934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS013170
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101638607 0006
—
PA
Enumeration date
11/06/2009
Last updated
01/13/2015
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