Individual
KATHRYN NELLIE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 BROAD AVE, SUSQUEHANNA, PA 18847-1611
(570) 853-3995
Mailing address
401 BROAD AVE, SUSQUEHANNA, PA 18847-1611
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP019285
PA
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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