Healthcare Provider Details

I. General information

NPI: 1487663134
Provider Name (Legal Business Name): DAVID J CARNEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MEDICAL ARTS BLDG STE 660
KITTANNING PA
16201-7110
US

IV. Provider business mailing address

1 NOLTE DR
KITTANNING PA
16201-7101
US

V. Phone/Fax

Practice location:
  • Phone: 724-548-3884
  • Fax: 724-548-3885
Mailing address:
  • Phone: 724-548-3884
  • Fax: 724-548-3885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD041294L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: