Individual
DR. FRED WILLIAM KEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3065 WINDSOR RD, RED LION, PA 17356-8533
(717) 851-1700
(717) 851-1710
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3026
(717) 851-1405
(717) 851-1710
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
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