Individual
STEPHANIE KEKULAWELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 S WASHINGTON ST FL 3, GETTYSBURG, PA 17325-2500
(717) 339-3110
(717) 339-3108
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 339-3110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT194889
PA
208600000X
Surgery Physician
A153448
CA
208600000X
Surgery Physician
Primary
MD462529
PA
Other
Enumeration date
05/08/2009
Last updated
07/19/2023
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