Kyle Fisher, ATC is a
Preventive Medicine - Sports Medicine physician based in Annville, Pennsylvania. Kyle Fisher is licensed to practice in Pennsylvania (license number RTO000469) and his current practice location is 101 N College Ave, Annville, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(717) 867-6880.
NPI number for Kyle Fisher is 1760021158 and his current mailing address is 101 N College Ave, Annville, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760021158.
Physician's Profile
Full Name | Kyle Fisher |
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Gender | Male |
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Speciality | Preventive Medicine - Sports Medicine |
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Location | 101 N College Ave, Annville, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760021158
- Provider Enumeration Date: 01/02/2020
- Last Update Date: 01/02/2020
Medical Identifiers
Medical identifiers for Kyle Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760021158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083S0010X | Preventive Medicine - Sports Medicine | RTO000469 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Fisher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kyle Fisher, ATC 101 N College Ave, Annville, PA 17003-1404 Ph: () - | Kyle Fisher, ATC 101 N College Ave, Annville, PA 17003-1404 Ph: (717) 867-6880 |
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