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KEYSTONE FAMILY MEDICINE ASSOCIATES P. C. NPI 1902859101


NPI Information

NPI: 1902859101
Provider Name: KEYSTONE FAMILY MEDICINE ASSOCIATES, P. C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
28 E 5TH ST
MOUNT CARMEL, PA
ZIP 17851
Phone: (570) 339-5754
Get Directions

KEYSTONE FAMILY MEDICINE ASSOCIATES, P. C. is a family medicine in Mount Carmel, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KEYSTONE FAMILY MEDICINE ASSOCIATES, P. C. NPI is 1902859101. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28 E 5TH ST
MOUNT CARMEL, PA
ZIP 17851-106
Phone: (570) 339-5754
Fax: (570) 339-3820

The provider's authorized official is Raymond J Kraynak .
The authorized official title is President and has the following contact phone number (570) 339-5754.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 11/12/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOS-005323-LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10016251410001MEDICAIDPENNSYLVANIA
2E13886MEDICARE UPINPENNSYLVANIA
3092899MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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