Individual
KYLE GORANFLO WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
855 GRANTLEY CT, YORK, PA 17403-4415
(717) 881-6065
Mailing address
855 GRANTLEY CT, YORK, PA 17403-4415
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN624569
PA
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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