Diane Kengersky, P.A.

NPI #1457396772 in Ridgway, Pennsylvania

Provider Information

NPI Number: 1457396772
Entity Type: Individual
Name: Diane Kengersky, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jun 19, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 225 SOUTH ST
City: Ridgway
State: Pennsylvania
ZIP Code: 15853-2033
Phone: (814) 772-2363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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