Kafrissen, Steven R

Kafrissen, Steven R is an individual health care provider with primary practice located at 562 Wyoming Ave , Kingston PA 18704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kafrissen, Steven R can be contacted via phone (570) 552-3925.

Contact Information

Primary practice address
562 Wyoming Ave Kingston PA 18704
Fax: (570) 552-3907
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD010164E Pennsylvania

Profile Details

NPI number 1326056359
LBN Legal business name Kafrissen, Steven R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326056359 NPPES
Pennsylvania MEDICAID 0552425

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