Healthcare Provider Details

I. General information

NPI: 1871580183
Provider Name (Legal Business Name): ROBERT FARRELL KEHM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MONUMENT RD SUITE 201
YORK PA
17403-5074
US

IV. Provider business mailing address

4055 TROUT RUN RD
YORK PA
17406-8324
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-4083
  • Fax: 717-812-2244
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD020549E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD020549E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: