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NPI Code Detail

MEDICARE: KEVIN P WINGARD

MEDICARE: KEVIN P WINGARD
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
1224Z00000XOccupational Therapy AssistantOP002425LPA

General Provider Information

NPI Number : 1316879364
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN P WINGARD
Provider Business Mailing Address
First Line : 107 LYNDHURST RD
Second Line :
City : EAST YORK
State : PA
Zip : 17402-3016
Country : US
Telephone Number : 717-800-1870
Fax Number :
Provider Business Practice Location Address
First Line : 2400 KINGSTON CT
Second Line :
City : YORK
State : PA
Zip : 17402-3650
Country : US
Telephone Number : 717-755-8811
Fax Number : 717-755-8367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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