Fisher, Kevin Andrew

Fisher, Kevin Andrew is an individual health care provider with primary practice located at 2500 W 12Th St , Erie PA 16505-4508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Fisher, Kevin Andrew can be contacted via phone (814) 838-9000.

Contact Information

Primary practice address
2500 W 12Th St Erie PA 16505-4508
Fax: (814) 838-0462
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X G49070 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD445161 Pennsylvania

Profile Details

NPI number 1073505244
LBN Legal business name Fisher, Kevin Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Aug 14th, 2012 - about 13 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 1073505244 NPPES
California MEDICAID 00G490700
California MEDICAID 102710446
California Other P00681332

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