Kevin P Kalnoski, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP012141 Issued in PA

Practice address

864 Jay St
Lebanon, PA 17046-1924

Phone

(717) 454-8379

Fax

(717) 560-2044

NPI assigned

Sep 26, 2012

Last updated

Jun 21, 2019By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Selah Behavioral Health Services

  • Adult Mental Health Clinic/Center
  • Lebanon, PA
  • NPI 1689282261
  NPD Authorized official
• Berks Counseling Center, Inc.

  • Community Health Clinic/Center
  • Reading, PA
  • NPI 1932629342
  NPD (past)

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1598016958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 JAY ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170461924",
            "telephone_number": "717-454-8379",
            "fax_number": "717-560-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 JAY ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170461924",
            "telephone_number": "717-454-8379",
            "fax_number": "717-560-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALNOSKI",
        "first_name": "KEVIN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-26",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP012141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Jupiter
• Just Like Family, Inc. (Just Like Family Home Health Care Service)
• K & W Medical Services Inc
• Jaydeep Kachhela, M.D.
• Bradley Kale
• Sukhjeet Kamboj, MD
• Johanna Marie Kane, MSW, LCSW
• Linda Kane
• Karen Kang
• Thomas V Kantor, M.D.

• Adult Health Nurse Practitioner in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.