Doctor Name: | DR. PAUL M KITEI |
NPI Number: | 1053758342 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MT204234 |
Business Practice Address: | 1255 S Cedar Crest Blvd Suite 3200 Allentown, PA - 181036256 |
Business Phone Number: | 6104021364 |
Business Fax Number: | 6104021675 |
Mailing Address: | 1492 Hampton Rd, ALLENTOWN |
State: | PA |
Postal Code: | 181042018 |
Phone Number: | 6107305655 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2013 |
NPI Last Update Date: | 05/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | MT204234 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |