Individual provider · Type 1 NPI
Kenneth John Bannon, BSPA-C
Physician Assistant · Carbondale, PA
Practice location
111 Salem Avenue, Suite 302
Carbondale, PA 18407-2574
Fax (570) 282-2534
Mailing address
601 Park St
Honesdale, PA 18431-1445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | MA001023L (PA) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1821055047
Kenneth John Bannon, BSPA-C's National Provider Identifier is 1821055047, issued on May 1, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Carbondale, PA. The record was last updated on Mar 23, 2015.