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Organization

SURGICAL ASSOCIATES, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID A KENNEY M.D. (PRESIDENT)
(724) 537-4751
Entity
Organization

Contact information

Practice address
433 FRYE FARM RD, SUITE 10, GREENSBURG, PA 15601-6480
(724) 537-4751
(724) 537-0259
Mailing address
433 FRYE FARM RD, SUITE 10, GREENSBURG, PA 15601-6480
(724) 537-4751
(724) 537-0259

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
M018202-E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012238240004
PA
01
577282
HIGHMARK
PA
01
P00164558
RAILROAD MEDICARE
PA
Enumeration date
02/12/2007
Last updated
08/22/2020
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