Mr. Kenneth John Bannon, BSPA-C
Mr. Kenneth John Bannon, BSPA-C is a Physician Assistant in Carbondale, Pennsylvania. Qualified in 1986, 40 years ago. Practices with Delaware Center for Digestive Care LLC, a 69-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.
- Years since qualifying
- 40
- Licensed in
- PA
- In the registry since
- 2006
Practice location Address checks out
111 Salem Ave Ste 302Carbondale, PA 18407-2574
Phone: (570) 282-2031
Fax: (570) 282-2534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence MA001023L (PA) |
|---|
Record details
| NPI number | 1821055047 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | BSPA-C |
| Sole proprietor | No |
| NPI enumerated | May 1, 2006 |
| Last updated in NPPES | March 23, 2015 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1986 (40 years in practice) |
| Group practice | Delaware Center For Digestive Care Llc — 69 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in Carbondale
-
Jacqueline Marie Hillriegel, PA
150 Brooklyn St, Carbondale, PA 18407-2274 · (570) 281-8594
-
Kathryn Kraycer, PA-C
10 Dundaff St, Carbondale, PA 18407-1869 · (570) 282-1404
-
Mrs. Ashley Sue Machiesky, PA-C
100 Lincoln Ave, Carbondale, PA 18407-2116 · (888) 380-0342
-
Miss. Sharon Marie Savakinas, PA-C
150 Brooklyn St, Carbondale, PA 18407-2274 · (570) 282-2031