NPI Code Details Logo

NPI 1922666742

NPI 1922666742 : ALEXANDRA C KITZMILLER DO : HARRISBURG, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1922666742
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ALEXANDRA C KITZMILLER DO
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/05/2019
-----------------------------------------------------
    Last Update Date     |    08/14/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4000 LINGLESTOWN RD 
-----------------------------------------------------
    City                 |    HARRISBURG
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    17112-1017
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    717-231-8867
-----------------------------------------------------
    Fax                  |    717-221-5219
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4000 LINGLESTOWN RD 
-----------------------------------------------------
    City                 |    HARRISBURG
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    17112-1017
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    717-231-8867
-----------------------------------------------------
    Fax                  |    717-221-5219
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    OS021026
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.