Individual
KAITLIN LOU PLUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
225 N FRONT ST, STEELTON, PA 17113-2240
(717) 939-4593
(717) 939-0955
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS018955
PA
207Q00000X
Family Medicine Physician
OT016953
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033048170002
—
PA
01
—
823261
MEDICARE
PA
Enumeration date
06/30/2016
Last updated
07/23/2019
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