Provider Demographics
NPI:1619933256
Name:KINESTON, DONALD PAUL (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:PAUL
Last Name:KINESTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2945
Mailing Address - Country:US
Mailing Address - Phone:814-333-3939
Mailing Address - Fax:814-333-8819
Practice Address - Street 1:149 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-1112
Practice Address - Country:US
Practice Address - Phone:814-333-3939
Practice Address - Fax:814-333-8819
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235102208D00000X
PAMD451079207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice