Kenneth R Mink, MD
Dermatology, Procedural Dermatology in Erie, PA. Individual provider (NPI-1).
NPI number1932102829
StatusActive
Last updated in NPPESNov 28, 2007
Details
- NPI
- 1932102829
- Entity type
- Individual (NPI-1)
- Name
- Kenneth R Mink
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2005
- Last updated
- Nov 28, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207NS0135X | Dermatology, Procedural Dermatology | MD054676L | PA | Yes |
Practice location
3800 W 12th StErie, PA 16505-3380
Phone 814-833-0399 · Fax 814-833-4999
Mailing address
3800 W 12th StErie, PA 16505-3380
Phone 814-833-0399 · Fax 814-833-4999
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