Provider Demographics
NPI:1467485375
Name:MOSSER, KEVIN HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:HENRY
Last Name:MOSSER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:147 GETTYS ST
Practice Address - Street 2:3786
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2534
Practice Address - Country:US
Practice Address - Phone:717-338-3242
Practice Address - Fax:717-338-3237
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-11-29
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Provider Licenses
StateLicense IDTaxonomies
PAMD024832E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5114122OtherAETNA
PA20009964OtherAMERIHEALTH MERCY-WMG
PA238936OtherMAMSI-WMG
PAP005003OtherGATEWAY-WMG
PA194414FLTOtherPA MEDICARE-PIN WMG
PA0068865000OtherAMERIHEALTH 65 PA
PA194414OtherHIGHMARK BLUE SHIELD
PA89345OtherUNISON-WMG
PA01713602OtherCAPITAL BLUE CROSS-WMG
PA100463OtherGEISINGER
PA01713602OtherCAPITAL BLUE CROSS-WMG
PA100463OtherGEISINGER