Kephart, Eric M

Kephart, Eric M is an individual health care provider with primary practice located at 100 Lincoln Hwy , Fairless Hills PA 19030-1008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kephart, Eric M can be contacted via phone (267) 587-0775.

Contact Information

Primary practice address
100 Lincoln Hwy Fairless Hills PA 19030-1008
Phone: (267) 587-0775
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X OS014338 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS014338 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OT011732 Pennsylvania

Profile Details

NPI number 1104913680
LBN Legal business name Kephart, Eric M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Feb 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104913680 NPPES
Pennsylvania MEDICAID 1022699560002

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