Kenneth Lee Erdman in Mifflintown - Family Medicine
Kenneth Lee Erdman - NPI 1639118797
Kenneth Lee Erdman is a Family Medicine in Mifflintown, Pennsylvania. Kenneth Lee Erdman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth Lee Erdman is 1639118797. The last update date is 2022-04-15.
Kenneth Lee Erdman's current location address is 2813 Industrial Park Rd, Mifflintown, Pennsylvania. You can contact this provider via phone number 7174368283 and fax number 7174365594. The mailing address for Kenneth Lee Erdman is 2813 Industrial Park Rd, Mifflintown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Lee Erdman |
|---|---|
| Address | 2813 Industrial Park Rd, Mifflintown, Pennsylvania |
| Phone Number | 7174368283 |
| Fax Number | 7174365594 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1639118797 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2022-04-15 |
Provider Mailing Address Detail
| Address | 2813 Industrial Park Rd |
|---|---|
| City | Mifflintown |
| State | Pennsylvania (PA) |
| Post Code | 170599078 |
| Phone Number | 7174368283 |
| Fax Number | 7174365594 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS010955L |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18482810003 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kenneth Lee Erdman?
The Kenneth Lee Erdman has been issued the NPI (National Provider Identifier) 1639118797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kenneth Lee Erdman's facilities are situated?
The facilities of Kenneth Lee Erdman are physically located at the following address: 2813 Industrial Park Rd, Mifflintown, PA, 170599078.
What is Kenneth Lee Erdman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth Lee Erdman is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Kenneth Lee Erdman receive the assignment of its 1639118797 from the Centers for Medicare & Medicaid Services?
The Kenneth Lee Erdman was issued its 1639118797 by the Centers for Medicare & Medicaid Services on 2006-06-05.
As of what date was the information regarding Kenneth Lee Erdman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth Lee Erdman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-04-15.