| Kenhorst Family Medical Center | |
|
600 High Blvd Kenhorst PA 19607-0347 | |
| (610) 775-2799 | |
| (610) 775-3284 |
| Full Name | Kenhorst Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 600 High Blvd, Kenhorst, Pennsylvania |
| Authorized Official Name and Position | Ezzat A Hanna (OWNER) |
| Authorized Official Contact | 6107752799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenhorst Family Medical Center 600 High Blvd Po Box 347 Kenhorst PA 19607-0347 Ph: (610) 775-2799 | Kenhorst Family Medical Center 600 High Blvd Kenhorst PA 19607-0347 Ph: (610) 775-2799 |
| NPI Number | 1497732572 |
|---|---|
| Provider Enumeration Date | 12/29/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497732572 | NPI | - | NPPES |
| 02420100 | Other | PA | CAPITAL BLUE CROSS |
| 503515 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |