Kenhorst Family Medical Center
Family Medicine in Kenhorst, PA. Organization (NPI-2).
NPI number1497732572
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1497732572
- Entity type
- Organization (NPI-2)
- Legal business name
- Kenhorst Family Medical Center
- Organization subpart
- No
- Enumeration date
- Dec 29, 2005
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
600 High BlvdKenhorst, PA 19607-0347
Phone 610-775-2799 · Fax 610-775-3284
Mailing address
600 High BlvdPo Box 347
Kenhorst, PA 19607-0347
Phone 610-775-2799 · Fax 610-775-3284
Authorized official
Ezzat A Hanna
Owner
6107752799
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