Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | MD037158L | PA |
NPI | 1801138037 |
---|---|
Provider Name | Dr. Ahmed Kneifati |
First Address | Selinsgrove, PA 17870-9104 |
Second Address | Selinsgrove, PA 17870-9104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2013 |
Last Update Date | 26/03/2013 |