DR. Kathleen Bannerman, MD
NPI #1629652219 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1629652219
- Entity Type
- Individual
- Name
- DR. Kathleen Bannerman, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- May 10, 2021
- Last Updated
- Aug 13, 2024
Practice Location
- Address
- 560 PIERCE ST
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-5716
- Phone
- (570) 283-2161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Family Medicine |
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