Dr. Eric M Kephart, D.O.
Family Medicine in Fairless Hills, PA. Individual provider (NPI-1).
NPI number1104913680
StatusActive
Last updated in NPPESFeb 15, 2022
Details
- NPI
- 1104913680
- Entity type
- Individual (NPI-1)
- Name
- Dr. Eric M Kephart
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2006
- Certification date
- Feb 15, 2022
- Last updated
- Feb 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OS014338 | PA | Yes |
| 207QS0010X | Family Medicine, Sports Medicine | OS014338 | PA | |
| 207Q00000X | Family Medicine | OT011732 | PA |
Practice location
100 Lincoln HwyFairless Hills, PA 19030-1008
Phone 267-587-0775
Mailing address
5000 Cox RdGlen Allen, VA 23060-9263
Phone 804-968-5700
Other practice locations
3000 Fairway Dr
Altoona, PA 16602-4472
Altoona, PA 16602-4472
Phone 814-942-1166 · Fax 814-942-6222
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