Peroutka, Kathryn A
Peroutka, Kathryn A is an individual health care provider with primary practice located at 3912 Trindle Rd , Camp Hill PA 17011-4246. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Peroutka, Kathryn A can be contacted via phone (717) 761-8740.Contact Information
Primary practice address
3912 Trindle Rd
Camp Hill PA 17011-4246
Phone: (717) 761-8740
Fax: (717) 761-8792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD030573-E | Pennsylvania |
Profile Details
| NPI number | 1295728483 |
|---|---|
| LBN Legal business name | Peroutka, Kathryn A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jun 14th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295728483 | NPPES |
| Pennsylvania | MEDICAID | 0009855260006 | |
| Pennsylvania | MEDICAID | 0008645850002 |
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