Individual
KYLE ETTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4272
(207) 301-8000
Mailing address
100 HIGH ST, BGH DEPARTMENT OF EMERGENCY MEDICINE (D-6), BUFFALO, NY 14203-1126
(716) 859-1499
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO3070
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2017
Last updated
05/19/2020
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