Individual
KELLY LYNN FUGOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
100 N ACADEMY AVE # MC15-09, DANVILLE, PA 17822-0001
(570) 214-3223
(570) 271-7805
Mailing address
GEISINGER MEDICAL CTR, 100 NORTH ACADEMY AVENUE, MC 15-09, DANVILLE, PA 17822-0001
(570) 214-3223
(570) 271-7805
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DN002918
PA
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DN002918
PA
Other
Enumeration date
10/11/2012
Last updated
05/28/2025
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