Individual
DR. TERRAH M. KECK-KESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
121 N NYES RD STE D, HARRISBURG, PA 17112-3248
(717) 531-8674
(717) 531-0401
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD436301
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023070190001
—
PA
01
—
153382
MEDICARE
PA
Enumeration date
05/03/2007
Last updated
04/18/2018
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