Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mead Avenue Family Practice, Inc

Organization Family Medicine Physician · NPI 1124156765

Mead Avenue Family Practice, Inc is a Family Medicine Physician in Corry, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1086 Mead Ave
Corry, PA 16407-8503
Phone: (814) 664-4542
Fax: (814) 664-4556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD050434L (PA)

Record details

NPI number1124156765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kurt Lund — President · (814) 664-4542
NPI enumeratedMarch 2, 2007
Last updated in NPPESAugust 22, 2007
Mailing address1086 Mead Ave, Corry, PA 16407-8503

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