Healthcare Provider Details

I. General information

NPI: 1811552797
Provider Name (Legal Business Name): KENNETH J STRANSKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL MEDDAC-K, CAMP HUMPHREYS
APO AP
96271
US

IV. Provider business mailing address

19932 WESTERLY AVE
POOLESVILLE MD
20837-2213
US

V. Phone/Fax

Practice location:
  • Phone: 315-737-1246
  • Fax:
Mailing address:
  • Phone: 315-737-1246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101270461
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: