| St. Luke's Physician Group, Inc | |
|
15065 Kutztown Rd Kutztown PA 19530-9276 | |
| (484) 526-4000 | |
| (833) 213-6428 |
| Full Name | St. Luke's Physician Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 15065 Kutztown Rd, Kutztown, Pennsylvania |
| Authorized Official Name and Position | Joseph Minahan (PRESIDENT) |
| Authorized Official Contact | 4845266162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Physician Group, Inc 801 Ostrum St Bethlehem PA 18015-1000 Ph: (484) 526-6048 | St. Luke's Physician Group, Inc 15065 Kutztown Rd Kutztown PA 19530-9276 Ph: (484) 526-4000 |
| NPI Number | 1740924794 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740924794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Lvpg Family Medicine - Kutztown Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Normal Ave, Suite 201, Kutztown, PA 19530 Phone: 610-683-8363 Fax: 610-683-3532 |