Organization
VASCULAR ACCESS CENTER OF KINGSTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY J PARKINSON (CEO)
(215) 382-3680
Entity
Organization
Contact information
Practice address
517 PIERCE ST, KINGSTON, PA 18704-5731
(570) 718-1971
Mailing address
517 PIERCE ST, KINGSTON, PA 18704-5731
(570) 718-1971
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016630380001
—
PA
01
—
DG5677
RAILROAD MEDICARE
PA
Enumeration date
10/24/2006
Last updated
03/19/2008
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