Walter J Kaniefski
Emergency Physician
601 Park St Emergency Medicine Department
Honesdale
, Pennsylvania 18431-1445
Walter J Kaniefski
Emergency Physician
601 Park St Emergency Medicine Department
Honesdale
, Pennsylvania 18431-1445
(866) 250-6385
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Walter J Kaniefski
- 38935 Ann Arbor Rd Credentialing/payer Contracting Dept
- Livonia, MI
- Zip : 48150-3397
- Fax : (866) 250-6385
- Phone : (734) 805-0477
Second Address
- Walter J Kaniefski
- 601 Park St Emergency Medicine Department
- Honesdale, PA
- Zip : 18431-1445
- Fax : (570) 253-8633
- Phone : (570) 253-8140
Reviews
FAQs
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Is Walter J Kaniefski accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 0101055974 | VA |
| Y | 207P00000X | Emergency Physician | MD444759 | PA |
National Provider Identifier
| NPI | 1003840422 |
|---|---|
| Provider Name | Walter J Kaniefski |
| First Address | Livonia, MI 48150-3397 |
| Second Address | Honesdale, PA 18431-1445 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 10/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010295564 | (05) | VA |
| 10394151 | CAQH (01) | PA |
| PENDING | (05) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.