Individual
SHANE R KINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8161
(717) 531-4645
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-42595
IA
207R00000X
Internal Medicine Physician
MD462434
PA
208M00000X
Hospitalist Physician
Primary
MD462434
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033580860001
—
PA
Enumeration date
04/10/2011
Last updated
04/09/2020
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