Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE FETTEROLF, PA
ActiveKYLE FETTEROLF, PA is a Physician Assistant healthcare provider located in KINGSTON, Pennsylvania. NPI 1477529501 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · KINGSTON, PA
Registration Details
- NPI Number
- 1477529501
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2006 (20.497502484667 yrs)
- Last Updated
- Feb 13, 2025
- License
-
MA001889L (PA)
Practice Information
- Address
-
423 3RD AVE STE BKINGSTON, PA, 187045809Browse PA providers · Browse ZIP 18704
- Phone
- 5702883601
- Fax
- 5702881726
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in KINGSTON, PA
| Name | Credential | NPI |
|---|---|---|
| DAN OPACHKO | PAC | 1518931468 |
| MS. ERIN BURNS | PA-C | 1437124377 |
| MRS. POLLY ANN SCHAEFER | PA-C | 1528110574 |
| SCOTT ALAN WEISENFLUH | PA-C | 1427272509 |
| MR. BRET J STEMRICH | PA | 1356670244 |
| GILES LOBB | PA-C | 1194028357 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.