Provider Demographics
NPI:1013192269
Name:PAPIERNIAK, KENNETH E (RPH)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:E
Last Name:PAPIERNIAK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 PLAZA RD
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-2974
Mailing Address - Country:US
Mailing Address - Phone:845-331-2070
Mailing Address - Fax:845-331-0012
Practice Address - Street 1:201 PLAZA RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-2974
Practice Address - Country:US
Practice Address - Phone:845-331-2070
Practice Address - Fax:845-331-0012
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31888183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist