Luzerne Wyoming Co Mhc#1

Specialty details in registry · Kingston, PA

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At a glance

562 Wyoming Ave, Kingston, PA 18704-3721

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

562 Wyoming Ave
Kingston, PA 18704-3721
Professional details: NPI, taxonomy & registry record
NPI1275654956
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QR0405X
Enumeration date
Apr 2, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QR0405X · Primary

License reported: CW014765 PA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

562 Wyoming Ave
Kingston, PA 18704-3721
Phone
(570) 552-3700
Mailing address
RR 1 BOX 282C

WAPWALLOPEN, PA 186609771
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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