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Kishan Modessa

NPI 1972174811 · on the registry since 2021 · sole proprietor

Practice

Address
4123 Emerson Ln
Allentown, PA 18104
Phone
(484) 868-8977

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Athletic Trainer
Sex
Male
Record last updated
2021-07-01
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania