Individual
KATHRYN A PEROUTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3912 TRINDLE RD, CAMP HILL, PA 17011-4246
(717) 761-8740
(717) 761-8792
Mailing address
3912 TRINDLE RD, CAMP HILL, PA 17011-4246
(717) 761-8740
(717) 761-8792
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD030573-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008645850002
—
PA
05
—
0009855260006
—
PA
Enumeration date
08/24/2005
Last updated
06/14/2023
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