Phyllis Kephart
Dental Hygienist
501 Howard Ave. Building D Suite 103
Altoona
, Pennsylvania 16601-4814
Phyllis Kephart
Dental Hygienist
501 Howard Ave. Building D Suite 103
Altoona
, Pennsylvania 16601-4814
(814) 943-3606
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Phyllis Kephart
- 553 52nd St
- Altoona, PA
- Zip : 16602-1446
- Phone : (814) 943-3606
Second Address
- Phyllis Kephart
- 501 Howard Ave. Building D Suite 103
- Altoona, PA
- Zip : 16601-4814
- Phone : (814) 889-6420
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In what state does Phyllis Kephart practice in?
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Is Phyllis Kephart a sole practitioner?
Is Phyllis Kephart accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | DH010609L | PA |
| Y | 124Q00000X | Dental Hygienist | PHDH000805 | PA |
National Provider Identifier
| NPI | 1063919744 |
|---|---|
| Provider Name | Phyllis Kephart |
| First Address | Altoona, PA 16602-1446 |
| Second Address | Altoona, PA 16601-4814 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2018 |
| Last Update Date | 10/04/2018 |
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.