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NPI Code Detail

MEDICARE: DR. KIMBERLY ANN SLUSSER M.D.

MEDICARE: DR. KIMBERLY ANN SLUSSER M.D.
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
1208000000XPediatrics Physician23792OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801895214
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY ANN SLUSSER M.D.
Provider Business Mailing Address
First Line : 6 W NEWPORT RD
Second Line :
City : LITITZ
State : PA
Zip : 17543-7774
Country : US
Telephone Number : 717-627-2108
Fax Number : 717-627-2434
Provider Business Practice Location Address
First Line : 6 W NEWPORT RD
Second Line :
City : LITITZ
State : PA
Zip : 17543-7774
Country : US
Telephone Number : 717-627-2108
Fax Number : 717-627-2434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 03/31/2014

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