# FIRST STATE FAMILY PRACTICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821172834
- **Authorized official:** JOHN KEHAGIAS MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (302) 378-5494

## Contact information

- **Practice address:** 222 CARTER DR, SUITE 101, MIDDLETOWN, DE 19709-5854
- **Practice address phone:** (302) 378-5494
- **Practice address fax:** (302) 378-1760
- **Mailing address:** 222 CARTER DR, SUITE 101, MIDDLETOWN, DE 19709-5854
- **Mailing address phone:** (302) 378-5494
- **Mailing address fax:** (302) 378-1760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C10006722 | DE | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 03/19/2012
