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Organization

GEISINGER CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH HOLDREN (CAO)
(570) 271-5490
Entity
Organization

Contact information

Practice address
21 GEISINGER LN, LEWISTOWN, PA 17044-3400
(717) 242-4200
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2080P0201X
Pediatric Allergy/Immunology Physician
2080P0202X
Pediatric Cardiology Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
05/17/2006
Last updated
06/30/2008
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