Fletcher, Kyle B

Fletcher, Kyle B is an individual health care provider with primary practice located at 169 Martin Ave , Ephrata PA 17522. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Fletcher, Kyle B can be contacted via phone (717) 738-6618.

Contact Information

Primary practice address
169 Martin Ave Ephrata PA 17522
Phone: (717) 738-6618
Fax: (717) 738-6646
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN696548 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN696548 Pennsylvania

Profile Details

NPI number 1992226419
LBN Legal business name Fletcher, Kyle B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2017
Last updated Nov 19th, 2024 - about 2 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992226419 NPPES
Pennsylvania MEDICAID 103345927

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