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Organization
KISKI VALLEY COMMUNITY MEDICINE, PC
Active
Organization
KISKI VALLEY COMMUNITY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J KUPAS DO (OWNER/PHYSICIAN)
(724) 478-2999
Entity
Organization
Contact information
Practice address
310 S 2ND ST, APOLLO, PA 15613-1150
(724) 478-2999
(724) 478-3005
Mailing address
310 SOUTH SECOND STREET, APOLLO, PA 15613-1111
(724) 478-2999
(724) 478-3005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0S008135L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015371560003
—
PA
01
—
257824
HIGHMARK
PA
Enumeration date
06/28/2005
Last updated
04/06/2017
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