Individual
MS. DARIA J KORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1123 FRANKLIN ST, JOHNSTOWN, PA 15905-4309
(814) 539-5340
(814) 536-1648
Mailing address
884 GOVIER LN, JOHNSTOWN, PA 15905-7508
(814) 288-2172
(814) 536-1648
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA003040L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA003040L
MEDICAL PHYSICIAN ASST
PA
01
—
OA000422L
OSTEOPATHIC PHYSICIAN ASS
PA
Enumeration date
09/16/2006
Last updated
07/08/2007
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