Search › Pennsylvania › 390200000X
Kyle Datz
NPI 1669841391 · on the registry since 2015
Practice
- Address
- 311 Ridge St
Freeland, PA 18224 - Phone
- (570) 814-0375
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 225500000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-23
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