Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD047023L | PA |
Y | 2080P0210X | Pediatric Nephrologist | MD047023L | PA |
NPI | 1396787446 |
---|---|
Provider Name | Deborah D Kees-Folts |
First Address | Hershey, PA 17033-0858 |
Second Address | Hershey, PA 17033-2360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 24/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0012812650001 | (05) | PA |
F06901 | (02) |