# KEYSTONE FUNCTIONAL MEDICINE, PC

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

## Provider details

- **NPI number:** 1962911750
- **Authorized official:** ADAM SECHRIST (MANAGER)
- **Authorized official phone:** (717) 515-8116

## Contact information

- **Practice address:** 1689 CROWN AVE STE 5, LANCASTER, PA 17601
- **Practice address phone:** (717) 273-3741
- **Practice address fax:** (717) 585-6794
- **Mailing address:** 1689 CROWN AVE STE 5, LANCASTER, PA 17601-6314
- **Mailing address phone:** (717) 273-3741
- **Mailing address fax:** (717) 585-6794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2017
- **Last updated:** 07/21/2022