NPI
Kenneth Vincent Bascom
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- MA
- Type
- Individual
- Enumeration date
- 2019-08-13
- Last updated
- 2019-08-13
Specialties
Licenses
- License PA
- 647010
Location
- Practice location
- 1855 Fair Ave
- City
- Honesdale PA
- Postal code
- 18431-2121
- Phone
- (570) 253-3980
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Honesdale, PA. 435 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.