Kyle Fetterolf in Wilkes Barre - Physician Assistant
Kyle Fetterolf - NPI 1477529501
Kyle Fetterolf is a Physician Assistant in Wilkes Barre, Pennsylvania. Kyle Fetterolf practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kyle Fetterolf is 1477529501. The last update date is 2023-01-10.
Kyle Fetterolf's current location address is 575 N River St, Wilkes Barre, Pennsylvania. You can contact this provider via phone number 5702709192. The mailing address for Kyle Fetterolf is 575 N River St, Wilkes Barre, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle Fetterolf |
|---|---|
| Address | 575 N River St, Wilkes Barre, Pennsylvania |
| Phone Number | 5702709192 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1477529501 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2023-01-10 |
Provider Mailing Address Detail
| Address | 575 N River St |
|---|---|
| City | Wilkes Barre |
| State | Pennsylvania (PA) |
| Post Code | 187640999 |
| Phone Number | 5702709192 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA001889L |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Kyle Fetterolf by the Centers for Medicare & Medicaid Services?
The Kyle Fetterolf has been assigned the NPI (National Provider Identifier) 1477529501. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code issued to Kyle Fetterolf by the Centers for Medicare & Medicaid Services?
The Kyle Fetterolf has been assigned the NPI (National Provider Identifier) 1477529501 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kyle Fetterolf's facilities are situated?
The facilities of Kyle Fetterolf are physically located at the following address: 575 N River St, Wilkes Barre, PA, 187640999.
What is Kyle Fetterolf's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kyle Fetterolf's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1477529501 assigned to Kyle Fetterolf?
The Kyle Fetterolf was issued its 1477529501 on 2006-02-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
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