Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | OS006834L | PA |
NPI | 1114950862 |
---|---|
Provider Name | Mr. Kevin R Clawson |
First Address | Chambersburg, PA 17201-4501 |
Second Address | Chambersburg, PA 17201-4501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 28/09/2015 |