Fetterolf, Kyle
Fetterolf, Kyle is an individual health care provider with primary practice located at 575 N River St , Wilkes Barre PA 18764-0999. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fetterolf, Kyle can be contacted via phone (570) 270-9192.Contact Information
Primary practice address
575 N River St
Wilkes Barre PA 18764-0999
Phone: (570) 270-9192
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA001889L | Pennsylvania |
Profile Details
| NPI number | 1477529501 |
|---|---|
| LBN Legal business name | Fetterolf, Kyle |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | May 20th, 2024 - about 6 months 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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