Individual
MARIO KINSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 W 12TH ST STE C, SUITE C, ERIE, PA 16505-4500
(814) 877-8730
Mailing address
2500 W 12TH ST STE C, SUITE C, ERIE, PA 16505-4500
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD-046952-L
PA
Other
Enumeration date
08/11/2005
Last updated
04/06/2021
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