Individual
DR. KATHLEEN PANEPINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
417 N MAIN ST, ATHENS, PA 18810-1817
(570) 888-3668
(570) 888-0354
Mailing address
417 N MAIN ST, ATHENS, PA 18810-1817
(570) 888-3668
(570) 888-0354
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003858L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016030000005
—
PA
Enumeration date
06/20/2005
Last updated
08/31/2023
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