Organization
JACOBUS MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIEREN PATRICK KNAPP D.O. (OWNER)
(717) 428-1911
Entity
Organization
Contact information
Practice address
55 N MAIN ST, JACOBUS, PA 17407-1248
(717) 428-1911
(717) 428-2519
Mailing address
55 N MAIN ST, JACOBUS, PA 17407-1248
(717) 428-1911
(717) 428-2519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS004435L
PA
Other
Enumeration date
03/23/2007
Last updated
05/17/2010
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