Individual
MR. KYLE MICHAEL LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1240 S CEDAR CREST BLVD, SUITE 403, ALLENTOWN, PA 18103-6369
(610) 402-3650
(610) 402-3673
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA053535
PA
Other
Enumeration date
09/04/2008
Last updated
12/18/2015
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