Individual
KYLER JAMISON MACENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 WARM SPRINGS AVE, HUNTINGDON, PA 16652-2350
(814) 643-8408
Mailing address
3548 JOHNSON HILL RD, TYRONE, PA 16686-3116
(814) 505-3455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN788868
PA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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