Kenhorst Family Medical Center | |
600 High Blvd Kenhorst PA 19607-0347 | |
(610) 775-2799 | |
(610) 775-3284 |
Full Name | Kenhorst Family Medical Center |
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Speciality | Family Medicine |
Location | 600 High Blvd, Kenhorst, Pennsylvania |
Authorized Official Name and Position | Ezzat A Hanna (OWNER) |
Authorized Official Contact | 6107752799 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kenhorst Family Medical Center 600 High Blvd Po Box 347 Kenhorst PA 19607-0347 Ph: (610) 775-2799 | Kenhorst Family Medical Center 600 High Blvd Kenhorst PA 19607-0347 Ph: (610) 775-2799 |
NPI Number | 1497732572 |
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Provider Enumeration Date | 12/29/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497732572 | NPI | - | NPPES |
02420100 | Other | PA | CAPITAL BLUE CROSS |
503515 | Other | PA | HIGHMARK BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |