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Individual

DR. KENT V FLINCHBAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2600 WILLOW STREET PIKE SOUTH, WILLOW STREET, PA 17584-0216
(717) 464-2751
(717) 464-7261
Mailing address
P O BOX 216, 2600 WILLOW STREET PIKE SOUTH, WILLOW STREET, PA 17584-0216
(717) 464-2751
(717) 464-7261

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002310L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008059500004
PA
Enumeration date
07/19/2006
Last updated
02/18/2009
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