Individual provider · Type 1 NPI

Kenneth Michael Staab, DO

Student in an Organized Health Care Education/Training Program · Allentown, PA

NPI number 1457280091 Active

Practice location

707 Hamilton St
Allentown, PA 18101-2407

Call (917) 843-0403 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XOT025452 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457280091

Kenneth Michael Staab, DO's National Provider Identifier is 1457280091, issued on May 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Allentown, PA. The record was last updated on May 19, 2026.