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George S. Kappakas
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NPI Number Detailed Information
Provider Information:
| Name: | George S. Kappakas |
| Gender: | M |
| Provider License Number If Given: | MD016757E |
NPI Information:
| NPI: | 1891798070 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 4/12/2016 |
Provider Business Mailing Address:
| Address: | 1200 BROOKS LN SUITE G20 Jefferson Hills, PA 15025 |
| Phone Number: | 4122675040 |
| Fax Number: | 4123843505 |
Provider Business Practice Location Address:
| Address: | 1200 BROOKS LN SUITE G20 Jefferson Hills, PA 15025 |
| Phone Number: | 4122675040 |
| Fax Number: | 4123843505 |
Provider Taxonomy:
| Primary: | 207X00000X |
| Secondary (if any): | |
| State: | PA |
