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Dr. Kristi L Dively, DO
Addiction Medicine (Family Medicine) Physician in Ephrata, Pennsylvania
NPI 1063447852

Kristi L Dively is an Addiction Medicine (Family Medicine) Physician based in Ephrata, PA and is specialized in Addiction Medicine. Kristi L Dively practices in Ephrata, PA and has the professional credentials of DO. The NPI Number for Kristi L Dively is 1063447852 and holds a License No. OS012313 (Pennsylvania).

The current practice location address for Kristi L Dively is 1170 S State St, Ephrata, PA and can be reached out via phone at 717-859-8000 and via fax at 717-859-6313.

Location: 1170 S State St, Ephrata, PA, 17522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063447852
Provider Name
Kristi L Dively
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1170 S State St, Ephrata, PA, 17522
Phone Number
717-859-8000
Fax Number
717-859-6313
Provider Enumeration Date
07/11/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1170 S State St
City
Ephrata
State
Pennsylvania
Zip
17522-2601
Phone Number
717-859-8000
Fax Number
717-859-6313
person
Provider Business Mailing Address Details
Address
1170 S State St
City
Ephrata
State
Pennsylvania
Zip
17522-2601
Phone Number
717-859-8000
Fax Number
717-859-6313
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
OS012313 (Pennsylvania)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
OS012313 (Pennsylvania)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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