Individual
KEVIN BZDYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 N WILKES BARRE BLVD STE 4, WILKES BARRE, PA 18702-5354
(570) 208-4858
Mailing address
125 N WILKES BARRE BLVD STE 4, WILKES BARRE, PA 18702-5354
(570) 208-4858
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103594833001
—
PA
Enumeration date
01/25/2021
Last updated
01/25/2021
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