Individual
KYLE J. MESSICK
Active
Individual
KYLE J. MESSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD433891
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
0101241179
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037148300
—
MD
01
—
0911193
AETNA
PA
05
—
102126720
—
PA
01
—
118477
GEISINGER HEALTH PLAN
PA
01
—
1571814
GATEWAY-WMG
PA
01
—
20076180
AMERIHEALTH MERCY-WMG
PA
01
—
2038928
HIGHMARK BLUE SHIELD
PA
01
—
209955
JOHNS HOPKINS
PA
01
—
243326
UNISON-WMG
PA
01
—
50077882
CAPITAL BLUE CROSS-WMG
PA
01
—
929010-01
CAREFIRST MD BCBS
MD
Enumeration date
06/09/2007
Last updated
11/19/2010
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