Individual provider · Type 1 NPI

Kyle Fetterolf, PA

Physician Assistant · Kingston, PA

NPI number 1477529501 Active

Practice location

423 3rd Ave Ste B
Kingston, PA 18704-5809

Fax (570) 288-1726

Other practice locations

  • 575 N River St, Wilkes Barre, PA 18764-0999 · (570) 270-9192
  • 334 Main St, Dickson City, PA 18519-1668 · (888) 952-6772
  • 677 Kidder St Ste D, Wilkes Barre Township, PA 18702-6914 · (570) 825-2046

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA001889L (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

2 other providers at this address

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About NPI 1477529501

Kyle Fetterolf, PA's National Provider Identifier is 1477529501, issued on Feb 28, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kingston, PA. The record was last updated on Feb 13, 2025.