Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC006293 | PA |
Y | 222Z00000X | Podiatrist | SC006293 | PA |
N | 213ES0103X | Foot & Ankle Surgery | SC006293 | PA |
NPI | 1023305968 |
---|---|
Provider Name | Dr. Rachel S. Kish |
First Address | Danville, PA 17822-4903 |
Second Address | Lewistown, PA 17044-1310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2011 |
Last Update Date | 13/08/2020 |