# KRAYNAK FAMILY MEDICINE, P.C.

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

## Provider details

- **NPI number:** 1376596585
- **Authorized official:** DR. MATTHEW J KRAYNAK D.O. (PRESIDENT)
- **Authorized official phone:** (570) 373-3121

## Contact information

- **Practice address:** 111 CHESTNUT ST, KULPMONT, PA 17834-1403
- **Practice address phone:** (570) 373-3121
- **Practice address fax:** (570) 373-3872
- **Mailing address:** 111 CHESTNUT ST, KULPMONT, PA 17834-1403
- **Mailing address phone:** (570) 373-3121
- **Mailing address fax:** (570) 373-3872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS-009229-L | PA | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 12/30/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0017410150005 | — | PA |