Individual
KYLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 EAST PARK AVE, STATE COLLEGE, PA 16803-1501
(814) 231-7000
Mailing address
1800 EAST PARK AVENUE ATTN CEMA, STATE COLLEGE, PA 16803
(814) 231-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD460713
PA
Other
Enumeration date
03/30/2014
Last updated
03/17/2018
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