Healthcare Provider Details

I. General information

NPI: 1972052348
Provider Name (Legal Business Name): SAMUEL JOSEPH KAPRAL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2016
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 SCHUYLER AVE STE 109A
KINGSTON PA
18704-3329
US

IV. Provider business mailing address

239 SCHUYLER AVE STE 109A
KINGSTON PA
18704-3329
US

V. Phone/Fax

Practice location:
  • Phone: 570-285-1144
  • Fax: 570-684-5115
Mailing address:
  • Phone: 570-285-1144
  • Fax: 570-684-5115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC012105
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: