NPI 1295062461 · live from the CMS NPI Registry
Kate Agresti, D.O.
Family Medicine in Brodheadsville, PA. National Provider Identifier 1295062461, active.
NPI record
| NPI | 1295062461 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 12 Kevin Ln, Brodheadsville, PA 18322 |
| Practice phone | 570-992-7620 |
| Mailing address | Po Box 783311, Philadelphia, PA 19178 |
| Enumerated | November 10, 2009 |
| Last updated | February 17, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | OT012901 (PA) |
| Family Medicine primary | 207Q00000X | OS015745 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.