Search › Pennsylvania › 363A00000X
Kyle Fetterolf, PA
NPI 1477529501 · on the registry since 2006
Practice
- Address
- 423 3rd Ave Ste B
Kingston, PA 18704 - Phone
- (570) 288-3601
- Fax
- (570) 288-1726
- Organisation at this address
- Ent Surgical Group,Pc
C. N. Burns, Jr., M.D.
Riverview Urologic Associates
Northeast Eye Specialists, Pc
Valleygate Surgery Center Of Ne Pa LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Additional practice sites
- 575 N River St, Wilkes Barre, PA
- 334 Main St, Dickson City, PA
- 677 Kidder St Ste D, Wilkes Barre Township, PA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania