NPI 1619744158
Ketasclepius LLC
Practice location
- Address
- 824 McAlpine St STE 6, Avoca, PA 18641-1104
- Phone
- (570) 701-6044
Authorised official
- Name
- Kelly Wilson
- Title
- Office Manager
- Phone
- (727) 517-6524
Registered specialties
Integrative Medicine Physician
Primary
Registry record
- NPI
- 1619744158
- Entity type
- Organization
- NPI issued
- 5 Dec 2023
- Record last updated
- 17 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.