Individual
MR. KEVIN EUGENE BRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 DENNY LN, YORK, PA 17406-2345
(717) 487-1814
Mailing address
601 DENNY LN, YORK, PA 17406-2345
(717) 487-1814
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MSG003967
PA
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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