Individual
MARK J KIMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 233-4082
Mailing address
PO BOX 854, MC A410, HERSHEY, PA 17033-0854
(800) 233-4082
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD027586E
PA
207R00000X
Internal Medicine Physician
MD027586E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012826560001
—
PA
Enumeration date
05/04/2006
Last updated
11/02/2009
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