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Individual

WALESKA JOANNE CANCEL-KENYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
501 CETRONIA RD, SUITE 120, ALLENTOWN, PA 18104-9569
(484) 426-2520
(484) 426-2570
Mailing address
501 CETRONIA RD, SUITE 120, ALLENTOWN, PA 18104-9569
(484) 426-2520
(484) 426-2570

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
070462
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD447949
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070462
STATE OF GEORGIA
GA
01
23-1352213
ST LUKES
PA
Enumeration date
10/01/2009
Last updated
05/07/2015
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