Individual provider · Type 1 NPI

Kassaundra Thiel

Surgical Physician Assistant · Scranton, PA

NPI number 1740035617 Active

Practice location

1800 Mulberry St
Scranton, PA 18510-2369

Call (570) 703-8000 Map

Mailing address

714 Parkview Rd
Moscow, PA 18444-5130

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1740035617

Kassaundra Thiel's National Provider Identifier is 1740035617, issued on Apr 23, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Scranton, PA. The record was last updated on Apr 23, 2024.