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Individual
DR. KEVIN BRIAN ST JOHN
Active
Individual
DR. KEVIN BRIAN ST JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD036023E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001079856
—
PA
01
—
01107503
CAPITAL BLUE CROSS-WMG
PA
01
—
097074
HIGHMARK BLUE SHIELD
PA
01
—
1142448
AMERIHEALTH MERCY-WMG
PA
01
—
233290
MAMSI-WMG
PA
01
—
30047
JOHNS HOPKINS
PA
01
—
4389930
AETNA
PA
01
—
542988
CAREFIRST MD BCBS
MD
01
—
7273
GEISINGER
PA
01
—
80737
UNISON-WMG
PA
01
—
P002885
GATEWAY-WMG
PA
Enumeration date
06/29/2006
Last updated
05/01/2023
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