Individual
KYLE A LINGENFELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
81 HILLCREST DR, STE 2600, PUNXSUTAWNEY, PA 15767-2605
(814) 938-4121
(814) 938-4158
Mailing address
81 HILLCREST DR, STE 2600, PUNXSUTAWNEY, PA 15767-2605
(814) 938-4121
(814) 938-4158
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD044264L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014589380002
—
PA
Enumeration date
06/14/2005
Last updated
02/26/2015
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