Individual
DR. KEVIN ALLAN MISHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 E PARK AVE, MOUNT NITTANY MEDICAL CENTER, STATE COLLEGE, PA 16803-6701
(814) 234-6110
Mailing address
617 PURDUE MOUNTAIN RD, BELLEFONTE, PA 16823-8931
(814) 353-8922
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS18411
FL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
OS011815L
PA
Other
Enumeration date
07/21/2006
Last updated
06/29/2023
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