Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH R MINK, MD
Active Sole ProprietorKENNETH R MINK, MD is a Procedural Dermatology healthcare provider located in ERIE, Pennsylvania. NPI 1932102829 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · ERIE, PA
Registration Details
- NPI Number
- 1932102829
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2005 (21.235734363802 yrs)
- Last Updated
- Nov 28, 2007
- License
-
MD054676L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3800 W 12TH STERIE, PA, 165053380Browse PA providers · Browse ZIP 16505
- Phone
- 8148330399
- Fax
- 8148334999
- Primary Specialty
-
Procedural Dermatology
207NS0135X
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.