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Individual

JAMES T KINCEL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
100 COMMUNITY DR, SUITE 203, TOBYHANNA, PA 18466-8985
(570) 839-8754
(570) 839-0893
Mailing address
1105 RUNDLE ST, SCRANTON, PA 18504-2908
(570) 241-3816

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052803
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111433PZP
PA
Enumeration date
11/06/2006
Last updated
06/29/2011
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