| Kenneth R. Guistwite, M.d. A P.c. | |
|
522 S Pitt St Carlisle PA 17013-3820 | |
| (717) 243-1516 | |
| (717) 243-4849 |
| Full Name | Kenneth R. Guistwite, M.d. A P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 522 S Pitt St, Carlisle, Pennsylvania |
| Authorized Official Name and Position | Kenneth R Guistwite (PRESIDENT) |
| Authorized Official Contact | 7172431516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R. Guistwite, M.d. A P.c. 522 S Pitt St Carlisle PA 17013-3820 Ph: (717) 243-1516 | Kenneth R. Guistwite, M.d. A P.c. 522 S Pitt St Carlisle PA 17013-3820 Ph: (717) 243-1516 |
| NPI Number | 1144321555 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6204810559 |
|---|---|
| Medicare Enrollment ID | O20040615001186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144321555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS010715L (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | MD014273E (Pennsylvania) | Primary |
| Provider Name | Kenneth R Guistwite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982644852 PECOS PAC ID: 6507928595 Enrollment ID: I20081230000106 |
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