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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH JOHN BANNON, BSPA-C

Active

MR. KENNETH JOHN BANNON, BSPA-C is a Physician Assistant healthcare provider located in CARBONDALE, Pennsylvania. NPI 1821055047 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CARBONDALE, PA

Registration Details

NPI Number
1821055047
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2006 (20.326856798215 yrs)
Last Updated
Mar 23, 2015
License
MA001023L (PA)

Practice Information

Address
111 SALEM AVENUE
SUITE 302
CARBONDALE, PA, 184072574
Browse PA providers · Browse ZIP 18407
Phone
5702822031
Fax
5702822534
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CARBONDALE, PA

Name Credential NPI
MISS SHARON MARIE SAVAKINAS PA-C 1215955828
HEATHER WALTERS PA-C 1104027770
JACQUELINE MARIE HILLRIEGEL PA 1578939609
MRS. ASHLEY SUE MACHIESKY PA-C 1659816437
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.