Individual
DR. KRISTY DENISE HOLECKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2005
(570) 271-6812
(570) 271-6507
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD434431
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021753770001
—
PA
Enumeration date
05/23/2008
Last updated
06/19/2020
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