Individual
KENNEDY M DICKHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1135 OLD WEST CHOCOLATE AVENUE, SUITE 101, HUMMELSTOWN, PA 17036
(717) 531-7010
(717) 531-7102
Mailing address
PO BOX 858 MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
(717) 531-7102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021627
PA
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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