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Kenneth R Lods, FNP
Family Nurse Practitioner in Johnstown, Pennsylvania
NPI 1780219980

Kenneth R Lods is a Family Nurse Practitioner based in Johnstown, PA and is specialized in Family. Kenneth R Lods practices in Johnstown, PA and has the professional credentials of FNP. The NPI Number for Kenneth R Lods is 1780219980 and holds a License No. 2019084433 (Pennsylvania).

The current practice location address for Kenneth R Lods is 411 Tunnel Ave, Johnstown, PA and can be reached out via phone at 814-243-9951.

Location: 411 Tunnel Ave, Johnstown, PA, 15905-3726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780219980
Provider Name
Kenneth R Lods
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
411 Tunnel Ave, Johnstown, PA, 15905-3726
Phone Number
814-243-9951
Fax Number
Provider Enumeration Date
03/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2019084433 01 PA ANCC
institution
Provider Business Practice Location Address Details
Address
411 Tunnel Ave
City
Johnstown
State
Pennsylvania
Zip
15905-3726
Phone Number
814-243-9951
Fax Number
person
Provider Business Mailing Address Details
Address
411 Tunnel Ave
City
Johnstown
State
Pennsylvania
Zip
15905-3726
Phone Number
814-243-9951
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2019084433 (Pennsylvania)
Definition
Definition to come...
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