| NPI | 1104384130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE LEE KERCHNER Physician 717-848-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |