Individual
KYLEN LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7300
Mailing address
139 BASIN HILL RD, DUNCANNON, PA 17020-9649
(717) 756-6713
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/11/2025
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