Basic Information
Provider Information
NPI: 1558501627
EntityType: 2
ReplacementNPI:  
OrganizationName: ACCESSIBLE EXTRACTION SERVICES, INCORP.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 20399 ROUTE 19
Address2: ONE LANDMARK NORTH, SUITE 203
City: CRANBERRY TOWNSHIP
State: PA
PostalCode: 160666134
CountryCode: US
TelephoneNumber: 7247728000
FaxNumber: 7247728040
Practice Location
Address1: 20399 ROUTE 19
Address2: ONE LANDMARK NORTH, SUITE 203
City: CRANBERRY TOWNSHIP
State: PA
PostalCode: 160666134
CountryCode: US
TelephoneNumber: 7247728000
FaxNumber: 7247728040
Other Information
ProviderEnumerationDate: 03/02/2009
LastUpdateDate: 03/02/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: KUNKEL
AuthorizedOfficialFirstName: FRANK
AuthorizedOfficialMiddleName: A.
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 7247728000
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000XMD037043EPAY193400000X MULTIPLE SINGLE SPECIALTY GROUPOther Service ProvidersSpecialist 

No ID Information.


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