Individual
KYLE SCHALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-4351
Mailing address
804 POST BOY CT, TOWSON, MD 21286-1551
(410) 387-1838
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008271
MD
Other
Enumeration date
12/15/2021
Last updated
12/20/2021
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