Keith Kmieczak in Ephrata - Physical Therapist

Keith Kmieczak - NPI 1932181542

Keith Kmieczak is a Physical Therapist in Ephrata, Pennsylvania. Keith Kmieczak practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Keith Kmieczak is 1932181542. The last update date is 2022-08-18.

Keith Kmieczak's current location address is 136 Lake St, Ephrata, Pennsylvania. You can contact this provider via phone number 7174665880. The mailing address for Keith Kmieczak is 136 Lake St, Ephrata, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith Kmieczak
Address 136 Lake St, Ephrata, Pennsylvania
Phone Number 7174665880
Fax Number
Sole Proprietor N
Credentials MSPT

NPI Number Detail

NPI Number 1932181542
Provider Enumeration Date 2005-11-18
Last Updated Date 2022-08-18

Provider Mailing Address Detail

Address 136 Lake St
City Ephrata
State Pennsylvania (PA)
Post Code 17522
Phone Number 7174665880
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT013342L
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2053032000 PA INDEPENDENCE BLUE SHIELD
50017328 PA CAPITAL BLUE CROSS
2719587 PA AETNA
814494 PA FIRST PRIORITY
1360739 PA BLUE SHIELD

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FAQs about Keith Kmieczak

What is the unique 10-digit identifier code assigned to Keith Kmieczak by the Centers for Medicare & Medicaid Services?

The Keith Kmieczak has been issued the NPI (National Provider Identifier) 1932181542 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Keith Kmieczak's physical address?

The Keith Kmieczak is physically located at 136 Lake St, in the city of Ephrata, PA, with the postal code 17522.

What is Keith Kmieczak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Keith Kmieczak is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1932181542 to Keith Kmieczak?

The Centers for Medicare & Medicaid Services assigned the 1932181542 to Keith Kmieczak on 2005-11-18.

When was the information pertaining to Keith Kmieczak most recently updated or revised?

The details related to Keith Kmieczak, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-18.

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