Individual provider · Type 1 NPI
Kathleen Marie Kephart, PA-C
Medical Physician Assistant · Williamsburg, PA
NPI number
1861796534
Active
Practice location
202 Cove Forge Rd
Williamsburg, PA 16693-7138
Mailing address
512 E Park Ave
Altoona, PA 16601-3747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | MA053950 (PA) |
| Physician Assistant | 363A00000X | OA002469 (PA) |
| Medical Physician Assistant Primary | 363AM0700X | MA053950 (PA) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Williamsburg
About NPI 1861796534
Kathleen Marie Kephart, PA-C's National Provider Identifier is 1861796534, issued on Jan 10, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Williamsburg, PA. The record was last updated on Apr 30, 2012.