Basic Information
| Provider Information | |||||||||
| NPI: | 1134185465 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | URBANSKY | ||||||||
| FirstName: | KEVIN | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 231 GRANITE RUN DR | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176016823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175604200 | ||||||||
| FaxNumber: | 7175604159 | ||||||||
| Practice Location | |||||||||
| Address1: | 703 LAMPETER RD | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176024013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172911881 | ||||||||
| FaxNumber: | 7172939181 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2006 | ||||||||
| LastUpdateDate: | 07/17/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | P00437652 | 01 | PA | MEDICARE-RAILROAD | OTHER |