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

Individual provider Physician Assistant · NPI 1093709099

Brian K Kephart, PHYSICIANASSISTANT is a Physician Assistant in Allentown, Pennsylvania. Qualified in 2002, 24 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
24
Licensed in
PA
In the registry since
2005
Specialties on file
3
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Practice location Address checks out

250 Cetronia Rd Ste 303
Allentown, PA 18104-9168
Phone: (610) 973-6200
Fax: (610) 973-6546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA051154 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA051154 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence MA051154 (PA)

Record details

NPI number1093709099
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 6, 2005
Last updated in NPPESJuly 31, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Phoenix Rehabilitation And Health Services Inc — 2720 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Allentown