Healthcare Provider Details

I. General information

NPI: 1760602437
Provider Name (Legal Business Name): KEVIN ADAMS STRAUSS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 06/17/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 COMMUNITY LANE
GORDONVILLE PA
17529
US

IV. Provider business mailing address

PO BOX 500
INTERCOURSE PA
17534-9998
US

V. Phone/Fax

Practice location:
  • Phone: 717-687-9407
  • Fax: 717-687-9237
Mailing address:
  • Phone: 717-687-9407
  • Fax: 717-687-9237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD417136
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: