Individual
KYLE B FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522
(717) 738-6618
(717) 738-6646
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN696548
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN696548
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103345927
—
PA
Enumeration date
07/06/2017
Last updated
11/19/2024
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