Search › Pennsylvania › 363LF0000X
Thomas Mickowski, CRNP
NPI 1053997999 · on the registry since 2021
Practice
- Address
- 511 Pierce St
Kingston, PA 18704 - Phone
- (570) 243-3300
- Fax
- (570) 338-3993
- Organisation at this address
- Wyoming Valley Pharmacy Inc
Kingston Community Pharmacy Inc.
Ultra Care Urgent And Family Care
Medical Center Of Northeastern Pa LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 1919 N Memorial Highway, Shavertown, PA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania