Individual
KYLE L GREENAWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
2655 WOODGLEN RD, POTTSVILLE, PA 17901-1335
(570) 622-6648
Mailing address
2655 WOODGLEN RD, POTTSVILLE, PA 17901-1335
(570) 622-6648
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT019355
PA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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