Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mead Avenue Family Practice, Inc

Organization Family Medicine Physician · NPI 1124156765

Mead Avenue Family Practice, Inc provides Family Medicine Physician services in Corry, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1086 Mead Ave
Corry, PA 16407-8503 Not confirmed with CMS for 19 years — call before visiting
Phone: (814) 664-4542
Fax: (814) 664-4556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD050434L (PA)

Record details

NPI number1124156765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kurt Lund — President · (814) 664-4542
NPI enumeratedMarch 2, 2007
Last updated in NPPESAugust 22, 2007
Mailing address1086 Mead Ave, Corry, PA 16407-8503

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