Provider Demographics
NPI:1821068883
Name:KINSELLA, FRANCIS (CRNA)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:KINSELLA
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OLD FORGE
Mailing Address - State:PA
Mailing Address - Zip Code:18518-1251
Mailing Address - Country:US
Mailing Address - Phone:570-561-4417
Mailing Address - Fax:
Practice Address - Street 1:1822 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510
Practice Address - Country:US
Practice Address - Phone:570-558-3500
Practice Address - Fax:570-558-3513
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA032069367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA430007790OtherRR MEDICARE
PA1017101290001Medicaid
PA430007790OtherRR MEDICARE
PA021933Medicare ID - Type Unspecified