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Individual

DESTA KEBEDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 231-8265
(717) 221-5219
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 231-8265
(717) 221-5219

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN-NP332484
GA
363LF0000X
Family Nurse Practitioner
Primary
SP022290
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP022290
NP LICENSE
PA
Enumeration date
09/25/2020
Last updated
10/16/2025
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