Kenneth Bruce Conner, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD010925E Issued in PA

Practice address

207 House Ave
Suite 101
Camp Hill, PA 17011-2308

Phone

(717) 761-8331

Fax

(717) 761-5032

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1801856893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WASHINGTON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041677",
            "telephone_number": "717-231-8539",
            "fax_number": "717-231-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HOUSE AVE",
            "address_2": "SUITE 101",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112308",
            "telephone_number": "717-761-8331",
            "fax_number": "717-761-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "KENNETH",
        "middle_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD010925E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concertocare Medical Group of Pennsylvania, PC
• Daphne M Conde, ACNP-BC
• Nicole Evett Condo, MA
• Debbie Coning, RN
• Hannah Elizabeth Conner
• Susan Taylyn Conner
• Caitlin Helen Conrad, LSW
• Robert Conrad
• Convenient Community Care, LLC.
• Amy E Cook, M.S.

• Internal Medicine Physician in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.