CORE FAMILY PRACTICE NPI 1417772617

NPI Information

  • NPI: 1417772617
  • Provider Name: CORE FAMILY PRACTICE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 39D2123552
  • Address: 413 W CYPRESS ST
    KENNETT SQUARE, PA
    ZIP 19348
  • Phone: (610) 612-9283

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NPI Details

CORE FAMILY PRACTICE is a family medicine in Kennett Square, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CORE FAMILY PRACTICE NPI is 1417772617. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

413 W CYPRESS ST
KENNETT SQUARE, PA
ZIP 19348-071
Phone: (610) 612-9283
Fax: (610) 320-2009

The provider's authorized official is Richard Patrick Haug .
The authorized official title is Owner/ceo and has the following contact phone number (610) 612-9283.

The CLIA number assigned to this NPI record is 39D2123552 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2024 and was last updated on 11/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes
2207QS0010XFamily MedicineSports MedicineNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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