Staci Kephart, PA

NPI #1619225828 in Coalport, Pennsylvania

Provider Information

NPI Number: 1619225828
Entity Type: Individual
Name: Staci Kephart, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 20, 2012
Last Updated: Nov 3, 2025

Practice Location

Address: 850 MAIN STREET
City: Coalport
State: Pennsylvania
ZIP Code: 16627
Phone: (814) 672-5141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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