Individual
KAMERON M PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1995 TECHNOLOGY PKWY, MECHANICSBURG, PA 17050-8522
(717) 231-8772
(717) 231-8435
Mailing address
1995 TECHNOLOGY PKWY, MECHANICSBURG, PA 17050-8522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA060676
PA
363A00000X
Physician Assistant
Primary
OA004857
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103660017
—
PA
Enumeration date
04/17/2019
Last updated
04/15/2021
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