Healthcare Provider Details

I. General information

NPI: 1891375036
Provider Name (Legal Business Name): AUSTIN KUIAWA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL WAY
BUTLER PA
16001
US

IV. Provider business mailing address

1 HOSPITAL WAY
BUTLER PA
16001
US

V. Phone/Fax

Practice location:
  • Phone: 724-283-6666
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberOS024404
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: