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1902832975
JOHN M KISH
WILKES BARRE, PA
NPI
1902832975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS004620L)
Enumeration Date
2006-06-23
Last Update Date
2012-09-13
Business Address
-- JOHN M KISH D.O.
147 AMBER LN
WILKES BARRE, PA 18702-6545
Phone number: 570-824-1122
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Mailing Address
-- JOHN M KISH D.O.
610 WYOMING AVE
KINGSTON, PA 18704-3702
Phone number: 570-288-5441
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