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Dr. Kathleen Bannerman, MD
Student in an Organized Health Care Education/Training Program in Tamaqua, Pennsylvania
NPI 1629652219

Kathleen Bannerman is a Student in an Organized Health Care Education/Training Program based in Tamaqua, PA. Kathleen Bannerman practices in Tamaqua, PA and has the professional credentials of MD. The NPI Number for Kathleen Bannerman is 1629652219 and holds a License No. MT222612 (Pennsylvania).

The current practice location address for Kathleen Bannerman is 34 S Railroad St, Tamaqua, PA and can be reached out via phone at 570-645-1950 and via fax at 570-645-1950.

Location: 34 S Railroad St, Tamaqua, PA, 18252-1927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629652219
Provider Name
Kathleen Bannerman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
34 S Railroad St, Tamaqua, PA, 18252-1927
Phone Number
570-645-1950
Fax Number
570-645-1950
Provider Enumeration Date
05/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34 S Railroad St
City
Tamaqua
State
Pennsylvania
Zip
18252-1927
Phone Number
570-645-1950
Fax Number
570-645-1950
person
Provider Business Mailing Address Details
Address
34 S Railroad St
City
Tamaqua
State
Pennsylvania
Zip
18252-1927
Phone Number
570-645-1950
Fax Number
570-645-1950
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MT222612 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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