DR. Kenneth R. Ustynoski, MD, FACS

NPI #1922368398 in Shavertown, Pennsylvania

Provider Information

NPI Number: 1922368398
Entity Type: Individual
Name: DR. Kenneth R. Ustynoski, MD, FACS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD, FACS
Enumeration Date: May 20, 2012
Last Updated: May 20, 2012

Practice Location

Address: 110 ONDISH RD
City: Shavertown
State: Pennsylvania
ZIP Code: 18708-9415
Phone: (570) 696-4566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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