Individual
NICHOLAS KINBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1402 9TH AVE, ALTOONA, PA 16602
(814) 940-2000
(814) 569-1878
Mailing address
1402 9TH AVE, ALTOONA, PA 16602-2415
(814) 940-2000
(814) 569-1878
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD462139
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2014
Last updated
07/28/2021
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