Individual
JACQUELINE CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
610 WYOMING AVE, SUITE 2, KINGSTON, PA 18704-3702
(570) 288-6627
(570) 288-6699
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS006939L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001232233
—
PA
Enumeration date
08/14/2006
Last updated
07/26/2021
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