Active NPIIndividual provider

Brian K Kephart, PHYSICIAN ASSISTANT

Physician Assistant in Allentown, Pennsylvania

NPI Number1093709099
Practice location
250 Cetronia Road, Suite 303, Allentown, PA 18104-9168
Fax
610-973-6546
Last updated
July 31, 2009

Brian K Kephart is a Physician Assistant based in Allentown, PA. Brian K Kephart practices in Allentown, PA and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Brian K Kephart is 1093709099 and holds a License No. MA051154 (PA). The current practice location address for Brian K Kephart is 250 Cetronia Road, Suite 303, Allentown, PA 18104-9168 and can be reached out via phone at 610-973-6200 and via fax at 610-973-6546.

Provider Profile Details

NPI Number
1093709099
Provider Name
Brian K Kephart
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
250 Cetronia Road, Suite 303, Allentown, PA 18104-9168
Phone Number
610-973-6200
Fax Number
610-973-6546
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 6, 2005
Last Update Date
July 31, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
250 Cetronia Road
Suite 303
Allentown, PA 18104-9168
Zip
18104-9168
Phone Number
610-973-6200
Fax Number
610-973-6546
Allentown, PA 18104Get directions →

Provider Business Mailing Address Details

Address
Po Box 848269
Boston, MA 02284-8269
City
Boston
State
MA
Zip
02284-8269
Phone Number
610-973-1700
Fax Number
610-973-1778

License Information

License Number (1)
MA051154
License State (1)
PA
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
MA051154
License State (2)
PA
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X
License Number (3)
MA051154
License State (3)
PA
Taxonomy (3)
Physician Assistant, Surgical · 363AS0400X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistants near Allentown, PA

View all Physician Assistants in Allentown →

Frequently Asked Questions

What is the NPI number of Brian K Kephart, PHYSICIAN ASSISTANT?

The NPI number of Brian K Kephart, PHYSICIAN ASSISTANT is 1093709099. It was assigned on September 6, 2005 and is currently active in the NPPES registry.

What is the specialty of Brian K Kephart, PHYSICIAN ASSISTANT?

Brian K Kephart, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PA under license number MA051154.

Where does Brian K Kephart, PHYSICIAN ASSISTANT practice?

The practice location is 250 Cetronia Road, Suite 303, Allentown, PA 18104-9168. The office can be reached at 610-973-6200 (phone) or 610-973-6546 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093709099 directly on the NPPES registry website.

Browse related providers