Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | DS022905L | PA |
NPI | 1144610130 |
---|---|
Provider Name | Stanley Kuren |
First Address | York, PA 17404-8341 |
Second Address | York, PA 17404-8341 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2015 |
Last Update Date | 28/01/2015 |