| Steven R. Kafrissen, Md, Pc | |
|
562 Wyoming Ave Kingston PA 18704-3721 | |
| (570) 552-3925 | |
| (570) 552-3907 |
| Full Name | Steven R. Kafrissen, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 562 Wyoming Ave, Kingston, Pennsylvania |
| Authorized Official Name and Position | Steven R Kafrissen (PSYCHIATRIST) |
| Authorized Official Contact | 5705523925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven R. Kafrissen, Md, Pc 562 Wyoming Ave Kingston PA 18704-3721 Ph: (570) 552-3925 | Steven R. Kafrissen, Md, Pc 562 Wyoming Ave Kingston PA 18704-3721 Ph: (570) 552-3925 |
| NPI Number | 1396911392 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 05/19/2008 |
| Medicare PECOS PAC ID | 0749359636 |
|---|---|
| Medicare Enrollment ID | O20080519000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396911392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Steven R Kafrissen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326056359 PECOS PAC ID: 9739077058 Enrollment ID: I20080424000041 |
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