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KENNETH R MINK MD
NPI 1932102829
Dermatology - Procedural Dermatology in Erie, PA

Active since May 24, 2005
0/100
CMS Quality Rating
3800 W 12TH ST, ERIE, PA 16505(814) 833-0399(814) 833-4999 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth R Mink Md NPPES

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

KENNETH R MINK MD (NPI 1932102829) is an individual procedural dermatology provider in Erie, Pennsylvania, licensed in Pennsylvania (MD054676L) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1932102829
Entity TypeIndividualMale
Primary Taxonomy207NS0135X
Provider Legal NameKENNETH R MINKCredential: MD
Location Address3800 W 12TH STErie, PA 16505-3380
Mailing Address3800 W 12th StErie, PA 16505-3380 · (814) 833-0399 · Fax (814) 833-4999
Phone(814) 833-0399
Fax(814) 833-4999
Sole ProprietorYes
Enumeration DateMay 24, 2005
Last NPPES UpdateNovember 28, 2007
✔ NPI 1932102829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in PA · MD054676L
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
3800 W 12TH ST, Erie, PA 16505
Open in Google Maps ↗

Other Identifiers 2

Medicare UPING25811PA
Medicare PINMI861599PA

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY LYNN BURICK LPC
Counselor (Professional)
3800 W 12TH ST
ERIE, PA 16505
Erie County (814) 464-5506
DR. ANUTI NGANGANA
Counselor (Mental Health)
3800 W 12TH ST
ERIE, PA 16505
Erie County (814) 482-2209
DR. PRAVINKUMAR P PATEL M.D.
Specialist
3800 W 12TH ST
ERIE, PA 16505
Erie County (814) 580-9696
JENNIFER L PFEFFER LCSW
Social Worker (Clinical)
3800 W 12TH ST
ERIE, PA 16505
Erie County (814) 923-8410
MR. MICHAEL JOSEPH KNIGHT JR. LMHC
Counselor (Mental Health)
3800 W 12TH ST
ERIE, PA 16505
Erie County (814) 482-2209

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 Mink's NPI number?

The NPI number for Kenneth Mink is 1932102829. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Kenneth Mink located?

Kenneth Mink practices at 3800 W 12th St, Erie, PA 16505. The listed phone number is (814) 833-0399.

What is Kenneth Mink's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Kenneth Mink was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.