Brian K Kephart PHYSICIAN ASSISTANT

NPI 1093709099 - Physician Assistant - 363AM0700X

NPI Details
NPI 1093709099
Gender Male
Enumeration Date 09/06/2005
Last Updated 07/31/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
250 CETRONIA ROAD
SUITE 303
ALLENTOWN PA, 18104-9168, US
Phone (610) 973-6200
Fax (610) 973-6546
Business Location
PO BOX 848269
BOSTON MA, 02284-8269, US
Phone (610) 973-1700
Fax (610) 973-1778
Toxanomy
Taxonomy Code 363AM0700X
License State Pennsylvania
License Number MA051154
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According to our database, Brian K Kephart PHYSICIAN ASSISTANT NPI is 1093709099, taxonomy code is 363AM0700X and license number is MA051154, license state is located at Pennsylvania. Brian K Kephart PHYSICIAN ASSISTANT physically located at 250 Cetronia Road, Allentown PA, 18104-9168. NPI Number Brian K Kephart PHYSICIAN ASSISTANT has the Individual type.

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1093709099 NPI number is provided on an as is basis without warranty of any kind. 1093709099 is maintained by the National Plan & Provider Enumeration System. The contents of Brian K Kephart PHYSICIAN ASSISTANT are for informational purposes only.