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NPI Code Detail

MEDICARE: ANDREA GENEVA MCKEVITT DO

MEDICARE:   ANDREA GENEVA MCKEVITT  DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramDE
2390200000XStudent in an Organized Health Care Education/Training ProgramOS025851PA

General Provider Information

NPI Number : 1669175220
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA GENEVA MCKEVITT DO
Provider Business Mailing Address
First Line : 257 BRODHEAD RD
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-8938
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 257 BRODHEAD RD
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-8938
Country : US
Telephone Number : 484-822-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2023
Last Update Date : 05/12/2026

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Directions to “ ANDREA GENEVA MCKEVITT DO” Practice Location

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