Provider Demographics
NPI:1942239322
Name:KEPNER, ANDREW M (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:M
Last Name:KEPNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:STE 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 1:1001 S GEORGE ST
Practice Address - Street 2:YORK HOSPITAL EMERGENCY DEPARTMENT
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-2450
Practice Address - Fax:717-851-3469
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD417319207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1547070OtherGATEWAY-YH
PA100998OtherGEISINGER-YH
PA50067227OtherCAPITAL BLUE CROSS-YH
PA2293624000OtherAMERIHEALTH 65 PA-YH
PA1614658OtherHIGHMARK BLUE SHIELD-YH
PA20038411OtherAMERIHEALTH MERCY-YH
I06907Medicare UPIN
PA20038411OtherAMERIHEALTH MERCY-YH