Basic Information
Provider Information
NPI: 1134305832
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SWINDELL
FirstName: KIM
MiddleName: D.
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: P.O. BOX 191
Address2:  
City: ROCKLAND
State: DE
PostalCode: 197230191
CountryCode: US
TelephoneNumber: 3026514000
FaxNumber: 3026514945
Practice Location
Address1: 555 N. DUKE STREET
Address2:  
City: LANCASTER
State: PA
PostalCode: 176022250
CountryCode: US
TelephoneNumber: 7175445090
FaxNumber: 3026514945
Other Information
ProviderEnumerationDate: 01/14/2008
LastUpdateDate: 07/23/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XMD437661PAY Allopathic & Osteopathic PhysiciansPediatrics 
2080P0208XMD437661PAN Allopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
208M00000XMD437661PAN Allopathic & Osteopathic PhysiciansHospitalist 
208000000X35.086655OHN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0208X35.086655OHN Allopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases

No ID Information.


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