Individual
KIRSTEN ALEXIS FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2675 JOPPA RD, YORK, PA 17403-5160
(717) 741-9063
(717) 718-9779
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD483468
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2021
Last updated
04/14/2025
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