Manganaro, Kimberly J.

Manganaro, Kimberly J. is an individual health care provider with primary practice located at 106 Derry Heights Blvd , Lewistown PA 17044-8604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Manganaro, Kimberly J. can be contacted via phone (717) 363-9077.

Contact Information

Primary practice address
106 Derry Heights Blvd Lewistown PA 17044-8604
Phone: (717) 363-9077
Fax: (570) 558-6161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD033635E Pennsylvania

Profile Details

NPI number 1730140310
LBN Legal business name Manganaro, Kimberly J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jun 9th, 2020 - about 4 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 1730140310 NPPES
Pennsylvania MEDICAID 001009889

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