Individual
KYLE HUMMERSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
658 WHITE PLAINS RD, TARRYTOWN, NY 10591-5104
(800) 321-9999
(267) 479-1321
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(267) 606-4478
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
311469
NY
208100000X
Physical Medicine & Rehabilitation Physician
OS020485
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2016
Last updated
11/18/2021
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