KERRY C WILLIS

HAZLETON, PA
NPI1295701266
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  TP007004B)
Enumeration Date2006-02-28
Last Update Date2007-07-08
Business Address
-- KERRY C WILLIS CRNP
57 W JUNIPER ST
HAZLETON, PA 18201-6410
Phone number: 570-501-1017
Mailing Address
-- KERRY C WILLIS CRNP
27 8TH ST
RINGTOWN, PA 17967-9409
Phone number: 570-578-6174
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