Individual
KYLE HARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
801 MACARTHUR BLVD STE 400A, MUNSTER, IN 46321-2923
(219) 836-7605
(219) 836-7602
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004925A
IN
363A00000X
Physician Assistant
9113562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105299595
ANTHEM
IN
Enumeration date
10/03/2020
Last updated
08/15/2025
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