KENNETH R LODS

JOHNSTOWN, PA
NPI1780219980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: PA  2019084433)
Enumeration Date2020-03-08
Last Update Date2020-03-08
Business Address
KENNETH R LODS FNP
411 TUNNEL AVE
JOHNSTOWN, PA 15905-3726
Phone number: 814-243-9951
Mailing Address
KENNETH R LODS FNP
411 TUNNEL AVE
JOHNSTOWN, PA 15905-3726
Phone number: 814-243-9951