Individual
DR. KYLE R KAULBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 270-7500
Mailing address
415 N WYOMISSING AVE, READING, PA 19607-1936
(570) 621-5064
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD042359L
PA
207R00000X
Internal Medicine Physician
MD042359L
PA
Other
Enumeration date
02/28/2006
Last updated
08/04/2020
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