| |
13161 Ferguson Valley Rd, Yeagertown, PA 17099-0414 | |
(717) 248-7248 | |
(717) 248-7323 |
Full Name | |
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Type | Facility |
Speciality | Audiologist |
Location | 13161 Ferguson Valley Rd, Yeagertown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790977338 | NPI | - | NPPES |
31571 | Other | PA | GEISINGER HEALTH PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AT-OOO772-L (Pennsylvania) | Primary |
Provider Name | Kathryn K O |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1750345195 PECOS PAC ID: 7517129307 Enrollment ID: I20120423000736 |
Mailing Address | Practice Location Address |
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13161 Ferguson Valley Rd, Yeagertown, PA 17099-0414 Ph: (717) 248-7248 | 13161 Ferguson Valley Rd, Yeagertown, PA 17099-0414 Ph: (717) 248-7248 |
Ms. Kathryn K O, AU D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 13161 Ferguson Valley Road, Yeagertown, PA 17099 Phone: 717-248-7248 Fax: 717-248-7323 |