MEDICARE: KEVIN BZDYK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790375640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN BZDYK

Provider Business Mailing Address
First Line	:	125 N WILKES BARRE BLVD STE 4
Second Line	:
City	:	WILKES BARRE
State	:	PA
Zip	:	18702-5354
Country	:	US
Telephone Number	:	570-208-4858
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 N WILKES BARRE BLVD STE 4
Second Line	:
City	:	WILKES BARRE
State	:	PA
Zip	:	18702-5354
Country	:	US
Telephone Number	:	570-208-4858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2021
Last Update Date	:	01/25/2021

Similar Medicare Providers

1043704083 — MATTHEW KARL SHOENER MS, CAADC
Practice Location Address:

125 N WILKES BARRE BLVD STE 4
WILKES BARRE, PA
18702-5354

Practice Phone: 570-208-4858
Practice Fax: 570-208-4874

1508255852 — BI INCORPORATED
Practice Location Address:

125 N WILKES BARRE BLVD , 4
WILKES BARRE, PA
18702-5354

Practice Phone: 570-208-4858
Practice Fax: 570-822-5784

1962995761 — STACEY ANN VELEZ
Practice Location Address:

125 N WILKES BARRE BLVD
WILKES BARRE, PA
18702-5354

Practice Phone: 570-208-4858
Practice Fax: 570-208-4874

1730672981 — KATE SHAUGHNESSY
Practice Location Address:

125 N WILKES BARRE BLVD STE 4
WILKES BARRE, PA
18702-5354

Practice Phone: 570-208-4858
Practice Fax:

1740122324 — JEAN CARLOS CASTILLO M.D.
Practice Location Address:

1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA
18702

Practice Phone: 570-808-2383
Practice Fax:

1740122720 — FLORENCE ODAKA MD
Practice Location Address:

166 HANOVER ST
WILKES BARRE, PA
18702-3540

Practice Phone: 570-808-8780
Practice Fax:

Directions to “ KEVIN BZDYK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.