Individual
KRISTIE HUNTER JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 FORD ST STE 2A, FORD CITY, PA 16226-1268
(724) 763-7144
Mailing address
313 FORD ST STE 2A, FORD CITY, PA 16226-1268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065589
PA
Other
Enumeration date
06/13/2024
Last updated
01/07/2025
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