Klynowsky Family Practice Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS-009866L Issued in PA

Legal business name

KLYNOWSKY FAMILY PRACTICE INC

Practice address

96 Wood St
Wilkes Barre, PA 18702-3612

Phone

(570) 829-0503

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Denise M Klynowsky-Farrell, DO

Title

Physician/Owner

Phone

(570) 829-0503

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1710069497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 WOOD ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187023612",
            "telephone_number": "570-829-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 WOOD ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187023612",
            "telephone_number": "570-829-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLYNOWSKY FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "KLYNOWSKY-FARRELL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "570-829-0503",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-009866L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Carl Klimas, D.O.
• Gerard L. Kline, M.D.
• John A. Kline, M.D.
• Brian E Klock, MD
• Laura Kluck
• Gionna Teresa Knauss
• Emily Rose Kneeream, RPH
• Jill Eileen Kneezle, RRT, CPFT
• Jounghyun Ko, M.D.
• Paula M. Kobal-Minichello, CRNA

• Family Medicine Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.