Individual
DR. KYLE WAYNE DUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
VMD
Contact information
Practice address
352 FIVE POINTS RICHMOND RD, BANGOR, PA 18013-5227
(610) 588-1813
Mailing address
352 FIVE POINTS RICHMOND RD, BANGOR, PA 18013-5227
(610) 588-1813
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
BV006150L
PA
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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