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Individual

KAITLYN BINGAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22 ST PAUL DR, CHAMBERSBURG, PA 17201-1036
(717) 217-6944
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA060573
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103635918
PA
01
MA060573
BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
02/26/2019
Last updated
02/13/2023
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