Provider Demographics
NPI:1982826285
Name:KIELBIOWSKI, MARK (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:KIELBIOWSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:134 INDUSTRIAL PARK RD STE 1500
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-8153
Mailing Address - Country:US
Mailing Address - Phone:724-689-1822
Mailing Address - Fax:724-522-4002
Practice Address - Street 1:530 SOUTH ST STE G10
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-837-3111
Practice Address - Fax:724-837-3022
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2019-10-04
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Provider Licenses
StateLicense IDTaxonomies
PAMD432352207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA112150Medicare PIN