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NPI Code Detail

MEDICARE: GINA E MCKENDRY PA-C

MEDICARE:   GINA E MCKENDRY  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0A002355PA
2363A00000XPhysician AssistantMA053491PA

General Provider Information

NPI Number : 1194981290
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA E MCKENDRY PA-C
Provider Business Mailing Address
First Line : PO BOX 159
Second Line :
City : BARRINGTON
State : NJ
Zip : 08007-0159
Country : US
Telephone Number : 888-982-8594
Fax Number : 888-920-1525
Provider Business Practice Location Address
First Line : 410 N KROCKS RD
Second Line :
City : ALLENTOWN
State : PA
Zip : 18106-9283
Country : US
Telephone Number : 888-982-8594
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2008
Last Update Date : 08/13/2024

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1952315178 — MS. SUSAN E GLENNY NP
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1942487673 — MRS. KELLY ANN BLAKE PA-C
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1023268505 — MRS. LISA M. TKACHENKO PA-C
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Directions to “ GINA E MCKENDRY PA-C” Practice Location

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