Individual
KIMBERLEE MUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1703 INNOVATION DRIVE, SUITE 3136, YORK, PA 17408-8815
(717) 741-3449
(717) 741-5496
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 741-3449
(717) 741-5496
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD053182L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1597216
—
PA
Enumeration date
11/23/2005
Last updated
01/25/2021
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