Individual
MISS KACEYANNE LYNN CERANKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3131 PRINCETON PIKE BLDG 4A, LAWRENCEVILLE, NJ 08648-2201
(609) 896-9190
Mailing address
769 BIRCH AVE, LANGHORNE, PA 19047-5902
(267) 230-6649
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00549600
NJ
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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