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DR. KENNETH R. USTYNOSKI MD, FACS
NPI 1922368398
Specialist in Shavertown, PA

Active since May 20, 2012
110 ONDISH RD, SHAVERTOWN, PA 18708(570) 696-4566 Get Directions Write a Review

NPPES record last updated: May 20, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Kenneth R. Ustynoski Md, Facs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH R. USTYNOSKI MD, FACS (NPI 1922368398) is an individual specialist in Shavertown, Pennsylvania, licensed in Pennsylvania (MD032192E) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1922368398
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. KENNETH R. USTYNOSKICredential: MD, FACS
Location Address110 ONDISH RDShavertown, PA 18708-9415
Mailing Address110 Ondish RdShavertown, PA 18708-9415 · (570) 696-4566
Phone(570) 696-4566
Sole ProprietorYes
Enumeration DateMay 20, 2012
✔ NPI 1922368398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD032192E
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
110 ONDISH RD, Shavertown, PA 18708
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Ustynoski's NPI number?

The NPI number for Kenneth Ustynoski is 1922368398. It was assigned to this individual provider in the NPPES registry on May 20, 2012.

Where is Kenneth Ustynoski located?

Kenneth Ustynoski practices at 110 Ondish Rd, Shavertown, PA 18708. The listed phone number is (570) 696-4566.

What is Kenneth Ustynoski's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kenneth Ustynoski was last updated on May 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.