Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kenneth R. Ustynoski, MD, FACS

Individual provider Specialist · NPI 1922368398

Dr. Kenneth R. Ustynoski, MD, FACS is a Specialist in Shavertown, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
FACS — Fellow of the American College of Surgeons
A surgeon admitted as a fellow of the ACS.

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Practice location Address checks out

110 Ondish Rd
Shavertown, PA 18708-9415
Phone: (570) 696-4566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD032192E (PA)

Record details

NPI number1922368398
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FACS
Sole proprietorYes
NPI enumeratedMay 20, 2012
Last updated in NPPESMay 20, 2012

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