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
- City
- Cross Fork
- State
- Pennsylvania
- 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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