Individual
DR. MICHAEL JOSEPH KIRWIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
327 NORTH WASHINGTON AVE, STE 501, SCRANTON, PA 18503
(570) 342-8973
Mailing address
RR 1-116K, UNIONDALE, PA 18470
(570) 446-0927
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS009207L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001869307001
PENNA MEDICAL ASSISTANCE
PA
Enumeration date
02/14/2006
Last updated
07/08/2007
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