Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kanouse Medical Group PC

Organization Internal Medicine Physician · NPI 1790859783

Kanouse Medical Group PC is an Internal Medicine Physician in Berwick, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

695 E 16th St Ste D
Berwick, PA 18603-2320
Phone: (570) 752-5500
Fax: (570) 752-6790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD-036479-E (PA)

Record details

NPI number1790859783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Kanouse — Physician · (570) 752-5500
NPI enumeratedNovember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address695 E 16th St, Suite D, Berwick, PA 18603-2320

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