Individual
DR. FRED WILLIAM KEPHART
Active
Individual
DR. FRED WILLIAM KEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD021594E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000808906
—
PA
01
—
0068503000
AMERIHEALTH 65 PA
PA
01
—
072985
HIGHMARK BLUE SHIELD
PA
01
—
1078702
CAPITAL BLUE CROSS-WMG
PA
01
—
1142368
AMERIHEALTH MERCY-WMG
PA
01
—
233270
MAMSI-WMG
PA
01
—
30068
JOHNS HOPKINS
PA
01
—
39388
GEISINGER
PA
01
—
4277053
AETNA
PA
01
—
526198
CAREFIRST MD BCBS
MD
01
—
80897
UNISON-WMG
PA
01
—
P002865
GATEWAY-WMG
PA
Enumeration date
07/07/2006
Last updated
11/09/2010
Update your record
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