Kingston Ophthalmology Asc LLC
NPI #1245203405 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1245203405
- Entity Type
- Organization
- Organization Name
- Kingston Ophthalmology Asc LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 8, 2006
- Last Updated
- Sep 7, 2023
Practice Location
- Address
- 601 WYOMING AVE
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-3701
- Phone
- (570) 288-7405
Authorized Official
- Name
- MR. PHILLIP A CLENDENIN
- Title
- PRESIDENT
- Phone
- (615) 665-1283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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