Individual
ANNIE KAVULICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 ST LUKES BLVD, EASTON, PA 18045-5671
(908) 847-2830
Mailing address
1600 ST LUKES BLVD, EASTON, PA 18045-5671
(908) 847-2830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058359
PA
Other
Enumeration date
08/15/2016
Last updated
12/30/2025
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