IndividualActive
Kevin Mishock, D.O.
NPI 1063432896 · Emergency Medical Services (Emergency Medicine) Physician · State College, PA
Provider details
- NPI number
- 1063432896
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- OS18411 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1800 E Park Ave
Mount Nittany Medical Center
State College, PA 16803-6701
Phone: (814) 234-6110
Approximate (ZIP-level) locationGet directions
Mailing address
617 Purdue Mountain Rd
Bellefonte, PA 16823-8931
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2023-06-29
- Certified
- 2023-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.