Individual
MR. KYLE LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 S RIVER ST, PLAINS, PA 18705-1143
(570) 821-1100
(570) 821-1108
Mailing address
200 S RIVER ST, PLAINS, PA 18705-1143
(570) 821-1100
(570) 821-1108
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA058329
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE ID
PA
Enumeration date
07/26/2016
Last updated
07/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us