Provider Demographics
NPI:1548703069
Name:LEWANDOWSKI, KENSY R (CRNP)
Entity type:Individual
Prefix:
First Name:KENSY
Middle Name:R
Last Name:LEWANDOWSKI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 DELAFIELD RD STE 4040
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3235
Mailing Address - Country:US
Mailing Address - Phone:412-784-1466
Mailing Address - Fax:
Practice Address - Street 1:200 DELAFIELD RD STE 4040
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-3235
Practice Address - Country:US
Practice Address - Phone:412-784-1466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-01
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017037363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
13945999OtherCAQH
PA103246858Medicaid
13945999OtherCAQH