| Penn Kidder Medical Center Inc | |
|
2588 State Route 903 Suite 2 Albrightsville PA 18210-0182 | |
| (570) 722-2125 | |
| Not Available |
| Full Name | Penn Kidder Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2588 State Route 903, Albrightsville, Pennsylvania |
| Authorized Official Name and Position | Neil Lesitsky (OWNER) |
| Authorized Official Contact | 5707222125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Kidder Medical Center Inc Po Box 182 Albrightsville PA 18210-0182 Ph: (570) 722-2125 | Penn Kidder Medical Center Inc 2588 State Route 903 Suite 2 Albrightsville PA 18210-0182 Ph: (570) 722-2125 |
| NPI Number | 1922108315 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 12/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922108315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
St. Luke's Physician Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2599 State Route 903, Albrightsville, PA 18210 Phone: 570-645-1945 Fax: 570-645-1946 | |
Lvpg Family Medicine- Albrightsville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2588 State Route 903, Albrightsville, PA 18210 Phone: 570-722-2125 Fax: 570-215-4338 |