Individual
MRS. KATHRYN KELSEY HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
116 SEYMOUR ST, BLOSSBURG, PA 16912-1418
(570) 638-3468
(570) 638-3637
Mailing address
PO BOX 34, BLOSSBURG, PA 16912-0034
(570) 638-3468
(570) 638-3637
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
PHDH001210
PA
124Q00000X
Dental Hygienist
Primary
DH071683
PA
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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