Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD473092 | PA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD473092 | PA |
NPI | 1134514623 |
---|---|
Provider Name | Alexander John Kish |
First Address | York, PA 17402-4723 |
Second Address | Hanover, PA 17331-5248 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2015 |
Last Update Date | 07/07/2021 |