Individual
DR. KEVIN MISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 231-8772
(717) 231-8435
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 231-8772
(717) 231-8435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD471484
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD471484
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD471484
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103854638
—
PA
01
—
1Q6058
MEDICARE #
PA
Enumeration date
04/11/2015
Last updated
03/02/2022
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