# KP ANESTHESIA, PC

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

## Provider details

- **NPI number:** 1518359579
- **Authorized official:** INDU PAUL (OFFICE MANAGER)
- **Authorized official phone:** (570) 622-5616

## Contact information

- **Practice address:** 121 PROGRESS AVE STE 120S, POTTSVILLE, PA 17901-2968
- **Practice address phone:** (570) 622-5622
- **Practice address fax:** (570) 622-5618
- **Mailing address:** 121 PROGRESS AVE STE 120, POTTSVILLE, PA 17901-2968
- **Mailing address phone:** (570) 622-5622
- **Mailing address fax:** (570) 622-5618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD418768 | PA | Yes |

## Other

- **Enumeration date:** 02/28/2015
- **Last updated:** 11/30/2023