Individual
DR. KYUNG K INCORVATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
93 BOUNDRY LN, BEAVER, PA 15009-2949
(724) 843-3800
(724) 843-4799
Mailing address
1520 3RD AVE, NEW BRIGHTON, PA 15066-2204
(724) 843-3800
(724) 843-4799
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD067851L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017780330006
—
PA
Enumeration date
09/23/2005
Last updated
09/16/2015
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