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NPI Code Detail

MEDICARE: MONICAH KILLONG

MEDICARE:   MONICAH  KILLONG
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
1164W00000XLicensed Practical NursePN309178PA

General Provider Information

NPI Number : 1285501106
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICAH KILLONG
Provider Business Mailing Address
First Line : 1869 SUNSET DR # 1869
Second Line :
City : WHITEHALL
State : PA
Zip : 18052-4127
Country : US
Telephone Number : 971-563-9304
Fax Number :
Provider Business Practice Location Address
First Line : 1869 SUNSET DR # 1869
Second Line :
City : WHITEHALL
State : PA
Zip : 18052-4127
Country : US
Telephone Number : 971-563-9304
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2025
Last Update Date : 10/23/2025

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Directions to “ MONICAH KILLONG ” Practice Location

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