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Individual

DR. ERIC M KEPHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
100 LINCOLN HWY, FAIRLESS HILLS, PA 19030-1008
(267) 587-0775
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS014338
PA
207Q00000X
Family Medicine Physician
OT011732
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
OS014338
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1022699560002
PA
Enumeration date
10/06/2006
Last updated
02/15/2022
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