Mcmanigle, Kyle Lee

Mcmanigle, Kyle Lee is an sole proprietor health care provider with primary practice located at 1072 Market St , Sunbury PA 17801-2458. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mcmanigle, Kyle Lee can be contacted via phone (570) 286-8521.

Contact Information

Primary practice address
1072 Market St Sunbury PA 17801-2458
Phone: (570) 286-8521
Fax: (570) 286-6197
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA061143 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA004235 Pennsylvania

Profile Details

NPI number 1518484294
LBN Legal business name Mcmanigle, Kyle Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2017
Last updated Apr 26th, 2022 - about 3 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 1518484294 NPPES
Pennsylvania Other 745418 MEDICARE PTAN
Pennsylvania MEDICAID 1033904950001 MEDICARE PTAN

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