Organization
K.C. DAVIDES, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYRIAKOS CONSTANTIN DAVIDES M.D. (PRESIDENT)
(412) 673-8429
Entity
Organization
Contact information
Practice address
1402 LINCOLN WAY, MCKEESPORT, PA 15131-1606
(412) 673-8429
(412) 673-8430
Mailing address
1402 LINCOLN WAY, MCKEESPORT, PA 15131-1606
(412) 673-8429
(412) 673-8430
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD032621L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG9607
RAILROAD MEDICARE
PA
Enumeration date
12/13/2007
Last updated
03/06/2008
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