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Organization

PEDIATRIC ASSOCIATES OF KINGSTON, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JR VOUGHT (PRACTICE MANAGER)
(570) 288-6543
Entity
Organization

Contact information

Practice address
451 3RD AVE STE 1, KINGSTON, PA 18704-5802
(570) 288-6543
(570) 288-7130
Mailing address
451 3RD AVE, KINGSTON, PA 18704-5802
(570) 288-6543
(570) 288-7130

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
08/31/2006
Last updated
04/21/2021
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