# ILKES-BARRE VETERANS AFFAIRS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356724454
- **Authorized official:** MR. KEITH NAYLOR (KINESIOTHERAPIST)
- **Authorized official phone:** (570) 977-8476

## Contact information

- **Practice address:** 1111 E END BLVD, WILKES BARRE, PA 18711-0030
- **Practice address phone:** (570) 824-3521
- **Mailing address:** 368 STONEY HOLLOW RD, POCONO LAKE, PA 18347-7828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 07/07/2015