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
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 HEMPFIELD PLAZA BLVD STE 963
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-1485
Mailing Address - Country:US
Mailing Address - Phone:724-837-3111
Mailing Address - Fax:724-837-3022
Practice Address - Street 1:4000 HEMPFIELD PLAZA BLVD STE 963
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-1485
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:2025-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD432352207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA112150Medicare PIN