NPI 1104122233

Kacey a Tomko, PACMPAS

Practitioner Medical Physician Assistant Moosic, PA

Practice location

Address: 340 Montage Mountain Rd, Moosic, PA 18507
Phone: (570) 346-3686
Fax: (570) 558-6838
Mailing address: 340 Montage Mountain Rd, Moosic, PA 18507-1782

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence MA054800 (PA)

Other Physician Assistant providers in Pennsylvania →

Registry record

NPI: 1104122233
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Feb 2011
Record last updated: 10 Jul 2018

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.