Individual
LEVI ADAM KORAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DSOM, L.OM
Contact information
Practice address
900 RUTTER AVE, FORTY FORT, PA 18704-4962
(570) 262-1133
Mailing address
67 BUTLER ST, KINGSTON, PA 18704-4720
(570) 262-1133
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
OM000275
PA
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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