Individual ProviderKenan XiaoRadiologyAllopathic & Osteopathic PhysiciansPractice Address100 N Academy Ave, Danville, PA 17822-1004(570) 271-6301PECOS EnrollmentBased on the most recent information from CMS, provider Kenan Xiao is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1437786506Provider TypeIndividualFull NameXiao, KenanGenderMaleSole ProprietorNoEnumeration Date3/26/2020Last Updated7/21/2025Contact InformationPractice LocationPractice Address100 N Academy Ave, Danville, PA 17822-1004Phone(570) 271-6301Fax(570) 271-5976Mailing LocationMailing Address100 N Academy Ave, Danville, PA 17822-9800Phone(570) 271-6301Fax(570) 271-5976Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseMD490568Pennsylvania