Individual
KENETTA E. HOCKENBROCHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
368 W MAIN ST, SUITE 100, LEOLA, PA 17540-1761
(717) 656-6122
(717) 656-0142
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 656-6122
(717) 656-0142
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP0064667B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001671342
BLUE SHIELD
—
01
—
157418FLT
MEDICARE
PA
01
—
50073069
BLUE CROSS
—
Enumeration date
06/11/2006
Last updated
04/06/2023
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