Individual
DR. GREGORY F KEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
474 WINDMERE DR, SUITE 202, STATE COLLEGE, PA 16801-7668
(814) 235-7700
(814) 235-7633
Mailing address
474 WINDMERE DR STE 202, STATE COLLEGE, PA 16801-7643
(814) 235-7700
(814) 235-7633
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS029616L
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD073230L
PA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
MD073230L
PA
Other
Enumeration date
05/05/2006
Last updated
04/10/2024
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