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1104430503
KEVIN MICHAEL PENO
DANVILLE, PA
NPI
1104430503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA061829)
Enumeration Date
2020-09-02
Last Update Date
2020-10-14
Business Address
KEVIN MICHAEL PENO PA-C
100 N ACADEMY AVE
DANVILLE, PA 17822-0001
Phone number: 570-271-6211
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Mailing Address
KEVIN MICHAEL PENO PA-C
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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