Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MD006627E | PA |
NPI | 1033186994 |
---|---|
Provider Name | Harold Kreithen |
First Address | Allentown, PA 18104-5034 |
Second Address | Allentown, PA 18104-5034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 03/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B32731 | (02) |