Family Medicine
Dr. KATHLEEN BANNERMAN MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1629652219 · enumerated 2021-05-10 · record updated 2024-08-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 560 PIERCE ST, KINGSTON, PA, 18704-5716 (570) 283-2161 Google Maps Apple Maps OpenStreetMap
- Mailing address 34 S RAILROAD ST, TAMAQUA, PA, 18252-1927 (570) 645-1950 Fax (570) 645-1950 Google Maps Apple Maps OpenStreetMap
Specialties
- Student in an Organized Health Care Education/Training Program 390200000X · License MT222612 PA
- Family Medicine 207Q00000X · Primary · License MD485646 PA
In this directory
Locations and evidence
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Practice location
KINGSTON, PA, 187045716
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.