Krivenko, Kathleen Ann

Krivenko, Kathleen Ann is an individual health care provider with primary practice located at 15 Public Sq Ste 312 , Wilkes Barre PA 18701-1702. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Krivenko, Kathleen Ann can be contacted via phone (570) 826-1777.

Contact Information

Primary practice address
15 Public Sq Ste 312 Wilkes Barre PA 18701-1702
Fax: (570) 823-3040
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN180007L Pennsylvania

Profile Details

NPI number 1083837132
LBN Legal business name Krivenko, Kathleen Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jun 20th, 2011 - about 14 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 1083837132 NPPES
Pennsylvania MEDICAID 1015952050001
Pennsylvania MEDICAID 1015952050003
Pennsylvania MEDICAID 1007678420038
Pennsylvania Other RN180007L

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