Individual
JEFFERY R KILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
451 3RD AVE STE 1, KINGSTON, PA 18704
(570) 288-6543
(570) 288-7130
Mailing address
451 3RD AVE STE 1, KINGSTON, PA 18704-5802
(570) 288-6543
(570) 288-7130
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD421577
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001953661
—
PA
Enumeration date
02/28/2006
Last updated
07/31/2019
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