Diller, Kyle Ray

Diller, Kyle Ray is an individual health care provider with primary practice located at 120 N 7Th St , Chambersburg PA 17201-1795. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Diller, Kyle Ray can be contacted via phone (717) 263-1220.

Contact Information

Primary practice address
120 N 7Th St Chambersburg PA 17201-1795
Phone: (717) 263-1220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X OS019609 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS019609 Pennsylvania

Profile Details

NPI number 1386165090
LBN Legal business name Diller, Kyle Ray
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2017
Last updated Sep 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386165090 NPPES
Pennsylvania MEDICAID 103541544

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