Kandace Kiskurno, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE011335 Issued in PA

Practice address

280 Middle Holland Rd
Holland, PA 18966-4822

Phone

(215) 396-7137

NPI assigned

Apr 11, 2018

Last updated

Apr 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1558868943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N PINE ST APT 3A",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MIDDLE HOLLAND RD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189664822",
            "telephone_number": "215-396-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISKURNO",
        "first_name": "KANDACE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE011335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Beth Katz, LCSW
• Sarah Kellenberger
• Colleen Kempf
• Teddy Hyunchul Kim, D.P.T.
• Kindly Care Inc
• Andrea Knauss
• Lauren Elizabeth Koestler
• Lynn Marie Konchanin, M.D.
• Barry A Korn, D.O.
• Melissa Lynn Kulenski, LSW

• Physical Therapy Assistant in Holland, PA
• Providers in Holland, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.