Kenneth Ralph Langille, M.D.
Individual provider Active NPI Family Medicine Physician · Kane, PA
NPI 1851398531 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851398531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD055344L (PA)
- Practice address
- 628B N Fraley St
Kane, PA 16735-9040 - Phone
- (814) 837-8950
- Fax
- (814) 837-8232
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Kane | Family Medicine | Current | Accepting new patients |
| Upmc Kane | Past | Accepting new patients |
Locations
4372 Route 6
Kane, PA 16735
Phone (814) 837-4741
2 Thompson Park
Kane, PA 16735
Phone (814) 837-4770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD055344L | PA | Yes |
Addresses
Primary practice location
628B N Fraley St
Kane, PA 16735-9040
Mailing address
PO Box 836
Kane, PA 16735-0836
Phone (814) 837-8950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015427820003 | Medicaid | PA |
Other providers in Kane, PA
- Kane Medical Group Inc
- Jeannine Kelley
- Keystone Rehabilitation Systems Inc
- Courtney Kline
- Vasileios Kostopoulos
- Andrew James Leslie
- Liza Greville LCSW, LLC
- Lorenzo Family Optical, Inc
- Lutheran Home at Kane Pennsylvania
- Elizabeth Maley
All providers in Kane, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.