Individual
KYLE CREIGHTON THIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP, ACNP
Contact information
Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1907
(570) 326-8053
(570) 326-8638
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723
(570) 326-8922
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021841
PA
Other
Enumeration date
05/08/2020
Last updated
12/05/2025
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