Individual
MISS KAITLYN MARIE PATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
513 W CHOCOLATE AVE, HERSHEY, PA 17033
(717) 533-2420
Mailing address
1121 N FAIRVILLE AVE, HARRISBURG, PA 17112
(717) 514-5145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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