Individual
KAITLEN A. REEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-6058
Mailing address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MA-057295
PA
363AS0400X
Surgical Physician Assistant
Primary
MA-057295
PA
Other
Enumeration date
10/27/2014
Last updated
10/10/2022
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