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KENNETH BANNON, BSPA-C
BSPA-C
Physician Assistant
NPI: 1821055047IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
MA001023L(PA)
Education
OTHER
Class of 1986
Contact & Hours
- Address
- 111 SALEM AVENUE, SUITE 302
CARBONDALE, PA 18407 - Phone
- (570) 282-2031
Quick Facts
- NPI
- 1821055047
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 40
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