Dr. Kevin Allan Mishock
Emergency Medical Services
1800 E Park Ave Mount Nittany Medical Center
State College
, Pennsylvania 16803-6701
Dr. Kevin Allan Mishock
Emergency Medical Services
1800 E Park Ave Mount Nittany Medical Center
State College
, Pennsylvania 16803-6701
(814) 353-8922
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Kevin Allan Mishock
- 617 Purdue Mountain Rd
- Bellefonte, PA
- Zip : 16823-8931
- Phone : (814) 353-8922
Second Address
- Dr. Kevin Allan Mishock
- 1800 E Park Ave Mount Nittany Medical Center
- State College, PA
- Zip : 16803-6701
- Phone : (814) 234-6110
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | OS011815L | PA |
National Provider Identifier
| NPI | 1063432896 |
|---|---|
| Provider Name | Dr. Kevin Allan Mishock |
| First Address | Bellefonte, PA 16823-8931 |
| Second Address | State College, PA 16803-6701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| IO6045 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.