Fagelman, Kerry M

Fagelman, Kerry M is an individual health care provider with primary practice located at 101 Erford Rd Suite 101, Camp Hill PA 17011-1802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Fagelman, Kerry M can be contacted via phone (800) 233-4082.

Contact Information

Primary practice address
101 Erford Rd Suite 101 Camp Hill PA 17011-1802
Phone: (800) 233-4082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD031250E Pennsylvania

Profile Details

NPI number 1679539621
LBN Legal business name Fagelman, Kerry M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Oct 12th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679539621 NPPES
Pennsylvania MEDICAID 0009636720004

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