Individual
DENISE MARIE KLYNOWSKY-FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
111 W END RD STE 101, HANOVER TOWNSHIP, PA 18706-5448
(570) 208-4035
(570) 208-4038
Mailing address
111 W END RD STE 101, HANOVER TOWNSHIP, PA 18706-5448
(570) 208-4035
(570) 208-4038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009866L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017038740009
—
PA
Enumeration date
01/20/2006
Last updated
09/14/2021
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