Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH JOHN BANNON, BSPA-C
ActiveMR. 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 AVENUESUITE 302CARBONDALE, PA, 184072574Browse 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.