| Doctor Name: | KEVIN R PORNELUZI |
| NPI Number: | 1144309592 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | CW017126 |
| Business Practice Address: | 365 Franklin Hill Rd Kittanning, PA - 162018921 |
| Business Phone Number: | 7245431888 |
| Business Fax Number: | 7245431898 |
| Mailing Address: | 422 N Washington St, BUTLER |
| State: | PA |
| Postal Code: | 160014265 |
| Phone Number: | 7242874196 |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 11/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW017126 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |