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Contact Information

KATHRYN K EISENHUTH, MD
132 ABIGAIL LN
PORT MATILDA, PA16870
 Phone: 814-272-7100
 Fax: 814-272-6501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KATHRYN K EISENHUTH · (Female)

NPI # 1063634863
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2007
Last updated 08/31/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 21219
  • PA License # MD462276
  • VA License # 0101245316
  • MS Medicaid 07585750
  • VA Other C09463 GROUP PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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