MEDICARE: KIMBERLY REICHARD PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	MA051711	PA

General Provider Information

NPI Number	:	1497753081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY REICHARD PA-C

Provider Business Mailing Address
First Line	:	1 E BROAD ST STE 130
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-5934
Country	:	US
Telephone Number	:	484-626-0480
Fax Number	:	484-896-9002

Provider Business Practice Location Address
First Line	:	3477 CORPORATE PKWY STE 100
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-8237
Country	:	US
Telephone Number	:	484-626-0480
Fax Number	:	484-896-9002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	08/14/2024

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Directions to “ KIMBERLY REICHARD PA-C” Practice Location

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