Individual provider · Type 1 NPI

Ivona Agata Kocon, PA-C

Medical Physician Assistant · Wilkes Barre, PA

NPI number 1750393765 Active

Practice location

1111 E End Blvd
Wilkes Barre, PA 18711-0030

Mailing address

5 Wildwood Ln
Mountain Top, PA 18707-9663

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA002563L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1750393765

Ivona Agata Kocon, PA-C's National Provider Identifier is 1750393765, issued on Aug 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wilkes Barre, PA. The record was last updated on Jul 8, 2007.