Individual
CASEY RAE KASISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507-1782
(570) 346-3686
Mailing address
2603 HIGH MOUNTAIN RD, FALLS, PA 18615-7843
(570) 240-2224
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA059861
PA
Other
Enumeration date
07/11/2018
Last updated
08/30/2018
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