Individual
JEFFREY GLEN KEGEL
Active
Individual
JEFFREY GLEN KEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35405
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014547140005
—
PA
01
—
30062352
KEYSTONE MERCY
PA
01
—
3513564000
KEYSTONE IBC
PA
01
—
41478MD045251E
HEALTH PARTNERS
PA
01
—
5989452
AETNA PPO
PA
01
—
6887720
AETNA HMO
PA
01
—
698880
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/10/2006
Last updated
08/02/2018
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