Kim Christine Sukowaski

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

License

RN589784 Issued in PA

Practice address

51 N Main St
Pittston, PA 18640-1915

Phone

(570) 655-0272

NPI assigned

Jun 25, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1235624032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 FLICK ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187053603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N MAIN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401915",
            "telephone_number": "570-655-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKOWASKI",
        "first_name": "KIM",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "PA",
            "license": "RN589784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyanka Srivastava, DDS
• Kellie Stoll
• Evan Stravinski, DPT
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• Andrew Rajiv Sukhu, MD
• James Sulima
• Skylar S Sunder
• Sunny Transportation Inc
• Lauren M Swanberry, PHARMD
• Melissa Sworin

• Behavioral Neurology & Neuropsychiatry Physician in Pittston, PA
• Providers in Pittston, PA by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.