Individual
KYLE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
101 N COLLEGE AVE, ANNVILLE, PA 17003-1404
(717) 867-6880
Mailing address
101 N COLLEGE AVE, ANNVILLE, PA 17003-1404
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
RTO000469
PA
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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