Kettle Creek Outfitters Ltd

NPI #1700408390 in Cross Fork, Pennsylvania

Provider Information

NPI Number
1700408390
Entity Type
Organization
Organization Name
Kettle Creek Outfitters Ltd
Subpart
Yes (part of a larger organization)
Parent Organization
KETTLE CREEK OUTFITTERS LTD
Primary Specialty
Public Health or Welfare
Enumeration Date
May 18, 2020
Last Updated
May 18, 2020

Practice Location

Address
88 QUIET OAKS CAMPGROUND LN
ZIP Code
17729-9430
Phone
(570) 502-2919

Authorized Official

Name
DAVID RALPH FLACK
Title
OWNER
Phone
(570) 502-2919

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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