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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