Individual
KERI J DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2360
(570) 271-6338
(570) 271-6105
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD441760
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MT190242
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026083080001
—
PA
Enumeration date
07/05/2007
Last updated
12/02/2023
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