Individual
BRIAN J KOBYLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
201 N MAIN AVE, SCRANTON, PA 18504-3303
(570) 342-4009
(570) 342-4326
Mailing address
201 N MAIN AVE, SCRANTON, PA 18504-3303
(570) 342-4009
(570) 342-4326
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004540L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018671600001
—
PA
01
—
66842
GEISINGER
—
01
—
813188
FIRST PRIORITY
—
Enumeration date
02/03/2006
Last updated
09/25/2008
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