| Hickory Family Practice | |
|
4151 Henderson Rd Hickory PA 15340-1439 | |
| (724) 356-2273 | |
| (724) 356-2585 |
| Full Name | Hickory Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 4151 Henderson Rd, Hickory, Pennsylvania |
| Authorized Official Name and Position | Edna C Krakosh (OFFICE MANAGER) |
| Authorized Official Contact | 7243562273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickory Family Practice 4151 Henderson Rd Hickory PA 15340-1439 Ph: (724) 356-2273 | Hickory Family Practice 4151 Henderson Rd Hickory PA 15340-1439 Ph: (724) 356-2273 |
| NPI Number | 1437124260 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 02/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437124260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ppcp Hickory Burgettstown Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4151 Henderson Rd, Hickory, PA 15340 Phone: 724-356-2273 Fax: 724-356-2585 |