Individual provider · Type 1 NPI

Staci Kephart, PA

Physician Assistant · Coalport, PA

NPI number 1619225828 Active

Practice location

850 Main Street
Coalport, PA 16627

Fax (814) 672-5461

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA055616 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619225828

Staci Kephart, PA's National Provider Identifier is 1619225828, issued on Aug 20, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Coalport, PA. The record was last updated on Nov 3, 2025.