KATHLEEN MARIE KEPHART (NPI# 1861796534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861796534 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARIE KEPHART |
| Credential | PA-C |
| Practice Address |
202 Cove Forge Rd Williamsburg PA 16693-7138 |
| Mailing Address |
512 E Park Ave Altoona PA 16601-3747 |
| Practice Telephone | 8148322131 |
| Mailing Telephone | 8149359152 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2012-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | OA002469 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | MA053950 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053950 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417251851 | Kathleen Ann Kephart | Case Manager/Care Coordinator | 10610 Main St, Suite 224, Hayward, WI 54843-6595 | 2010-12-28 |
| Street Address |
202 COVE FORGE RD |
| City | WILLIAMSBURG |
| State | PA |
| Zip Code | 16693-7138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407316755 | Kevin Edward Mckinney | Nurse Practitioner | 202 Cove Forge Rd, Williamsburg, PA 16693-7138 | 2019-03-22 |
| 1447774120 | April Lois Brooks | Physician Assistant | 202 Cove Forge Rd, Williamsburg, PA 16693-7138 | 2017-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871795765 | Stephanie A Hoover | Physician Assistant | 202 Cove Forge Road, Cove Forge Behavioral Health, Williamsburg, PA 16693 | 2007-06-03 |
| 1659580348 | John Taylor Symons | Family Medicine | 1 New Beginnings Road, Williamsburg, PA 16693 | 2007-05-21 |
| 1336280296 | Thomas Baumgarten | Emergency Medicine | Cove Forge Road, Route 1, Williamsburg, PA 16693 | 2007-02-12 |
| 1386607539 | Williamsburg Ambulance Club | Ambulance | 418 W Second St, Williamsburg, PA 16693 | 2006-04-10 |
| 1114021573 | Dicks Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 318 E 1st St, Williamsburg, PA 16693-1006 | 2006-09-07 |
| 1043831761 | Williamsburg Pharmacy Inc | Pharmacy | 318 E 1st St, Williamsburg, PA 16693-1006 | 2020-05-04 |
| 1467456202 | Laura J Siems | Family Medicine | 306 Plum St, Williamsburg, PA 16693-1116 | 2005-06-09 |
| 1730409509 | Jacqulin Amber Fabina | Family Medicine | 306 Plum St, Williamsburg, PA 16693-1116 | 2010-06-03 |
| 1437100765 | Upmc Altoona | General Acute Care Hospital | 306 Plum St, Williamsburg, PA 16693-1116 | 2006-05-12 |
| 1386695518 | Fiona J Mclellan | Family Medicine | 306 Plum St, Williamsburg, PA 16693-1116 | 2006-05-12 |
| Find all providers in zip 16693 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525944 | Aaron Dewayne Petrey | Physician Assistant | 475 N Highway 25 W Ste 100, Williamsburg, KY 40769-1576 | 2019-12-18 |
| 1861767600 | Lesley Anne Tipton | Physician Assistant | 7527 College Station Dr, Williamsburg, KY 40769-1386 | 2012-03-13 |
| 1871795765 | Stephanie A Hoover | Physician Assistant | 202 Cove Forge Road, Cove Forge Behavioral Health, Williamsburg, PA 16693 | 2007-06-03 |
| 1720081565 | Jennifer L. Harrington | Physician Assistant | 841 S Highway 25 W # S, Suite 5, Williamsburg, KY 40769-4600 | 2005-05-24 |
| 1568820629 | Tracy Johnson | Physician Assistant | 475 N Highway 25 W, Suite 100, Williamsburg, KY 40769-1576 | 2016-02-04 |
| 1033544606 | Odessa Ochoa | Physician Assistant | 5477 Mooretown Rd, Williamsburg, VA 23188-2108 | 2013-09-13 |
| 1659667681 | Kristen White | Physician Assistant | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2011-06-28 |
| 1578716445 | Dannette Yuiska | Physician Assistant | 477 Mclaws Cir, Williamsburg, VA 23185-6316 | 2008-10-23 |
| 1912128125 | Kari Natasha Mcknight | Physician Assistant | 475 N Highway 25 W, Suite 100, Williamsburg, KY 40769-1576 | 2007-05-02 |
| 1134200223 | Paul C Henson | Physician Assistant | 998 S Highway 25 W, Suite 1, Williamsburg, KY 40769-1692 | 2006-10-17 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 16693 |
Please comment or provide details below to improve the information on KATHLEEN MARIE KEPHART.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.