Kyle Fetterolf , PA
Physician Assistant • Kingston, PA
423 3rd Ave Ste B
Kingston, PA 187045809
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Kyle Fetterolf is listed in NPPES under Physician Assistant.
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NPI assigned on February 28, 2006; this date does not establish years in practice.
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Published CMS data list 551 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 151 service units.
- 99203 — New patient outpatient office visit: 82 service units.
- 87804 — Detection test by immunoassay with direct visual observation for influenza virus: 78 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 13 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 353 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Prednisone — 75 prescription fills, including refills.
- Azithromycin — 69 prescription fills, including refills.
- Cephalexin — 36 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 13 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Kingston, PA (2024, 15 clinicians with data). Median for this group: 635. Middle half: 273 to 1,357.
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Pennsylvania (2024, 3,979 clinicians with data). Median for this group: 174. Middle half: 68 to 404.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 555 in 2020 to 551 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
423 3rd Ave Ste B
Kingston, PA 187045809
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 3 distinct additional practice-address records in Dickson City, PA; Wilkes Barre Township, PA; Wilkes Barre, PA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Commonwealth Physician Network Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1999
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
316 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $35,445 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $24,221 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
362 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$2,733 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,313.51 across 52 records.
By nature of payment
- Food and Beverage: $1,308.66 across 51 records.
- Education: $4.85 across 1 record.
Reporting-company totals (3 largest of 9)
- Bayer Healthcare Pharmaceuticals Inc.: $545.81 across 16 records.
- Sumitomo Pharma America, Inc.: $395.06 across 19 records.
- Astellas Pharma US Inc: $94.26 across 4 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
27 years (graduated 1999)
CMS Doctors and Clinicians data list 1999 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Kyle Fetterolf has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Kyle Fetterolf as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Kingston and Pennsylvania
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in Kingston, PA (2024, 15 clinicians with data). Median for this group: 635. Middle half: 273 to 1,357.
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Pennsylvania (2024, 3,979 clinicians with data). Median for this group: 174. Middle half: 68 to 404.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Kingston, PA (2024, 15 clinicians with data). Median for this group: $37,062. Middle half: $20,729 to $129,605.
A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Pennsylvania (2024, 3,979 clinicians with data). Median for this group: $13,809. Middle half: $5,386 to $28,936.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Kingston, PA (2024, 15 clinicians with data). Median for this group: $24,074. Middle half: $14,402 to $96,045.
A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Pennsylvania (2024, 3,979 clinicians with data). Median for this group: $10,019. Middle half: $3,950 to $20,945.
Medicare Part D prescriptions
Fewer Part D prescriptions than 75% of clinicians listed under Physician Assistant in Kingston, PA (2024, 15 clinicians with data). Median for this group: 827. Middle half: 357 to 1,645.
Close to the middle for clinicians listed under Physician Assistant in Pennsylvania (2024, 4,373 clinicians with data). Median for this group: 235. Middle half: 69 to 862.
Part D drug cost
A lower Part D drug cost than 85% of clinicians listed under Physician Assistant in Kingston, PA (2024, 15 clinicians with data). Median for this group: $53,634. Middle half: $6,677 to $126,495.
Close to the middle for clinicians listed under Physician Assistant in Pennsylvania (2024, 4,373 clinicians with data). Median for this group: $3,681. Middle half: $519 to $94,109.
25 active clinicians are listed under Physician Assistant with a practice address in Kingston, PA (8,021 in Pennsylvania).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Kingston
24% of these 25 clinicians have the CMS telehealth indicator.
72% of these 25 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services varied from year to year: 555 in 2020 and 551 in 2024.
- 2020: 555
- 2021: 425
- 2022: 597
- 2023: 496
- 2024: 551
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Medicare-allowed amount
Medicare-allowed amount decreased 41% from $59,996 in 2020 to $35,445 in 2024.
- 2020: $59,996
- 2021: $44,551
- 2022: $65,744
- 2023: $51,487
- 2024: $35,445
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Paid by Medicare
Paid by Medicare decreased 50% from $48,149 in 2020 to $24,221 in 2024.
- 2020: $48,149
- 2021: $37,649
- 2022: $57,779
- 2023: $41,162
- 2024: $24,221
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 210% from 114 in 2020 to 353 in 2024.
- 2020: 114
- 2021: 100
- 2022: 104
- 2023: 118
- 2024: 353
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30-day fills
30-day fills increased 218% from 114 in 2020 to 362 in 2024.
- 2020: 114
- 2021: 100
- 2022: 104
- 2023: 118
- 2024: 362
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Part D drug cost
Part D drug cost went from $636 in 2020 to $2,733 in 2024.
- 2020: $636
- 2021: $479
- 2022: $579
- 2023: $941
- 2024: $2,733
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $580.34 in 2021 to $1,313.51 in 2025.
- 2021: $580.34
- 2022: $853.81
- 2023: $400.56
- 2024: $433.49
- 2025: $1,313.51
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 52 records totaling $1,313.51.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Xofigo | General | $134.35 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Nubeqa | General | $124.94 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
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GEMTESA | General | $98.54 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Xofigo | General | $94.50 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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ELIQUIS | General | $29.38 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
|
GEMTESA | General | $28.51 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
|
GEMTESA | General | $28.40 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Xtandi | General | $27.54 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
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GEMTESA | General | $27.43 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Nubeqa | General | $27.03 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
Axonics | General | $26.76 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
|
GEMTESA | General | $26.56 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
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GEMTESA | General | $26.45 |
| Telix Pharmaceuticals |
Food and Beverage
In-kind items and services
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ILLUCCIX | General | $24.77 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $24.71 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Xofigo | General | $24.05 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
|
GEMTESA | General | $23.93 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
|
GEMTESA | General | $23.38 |
| Telix Pharmaceuticals |
Food and Beverage
In-kind items and services
|
ILLUCCIX | General | $23.31 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Xtandi | General | $22.58 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Nubeqa | General | $22.53 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Xtandi | General | $22.29 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
ELIQUIS | General | $22.18 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
LUPRON DEPOT | General | $21.97 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Xtandi | General | $21.85 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
151 | 134 | $225.00 | $72.09 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
82 | 82 | $240.00 | $89.91 |
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87804
Detection test by immunoassay with direct visual observation for influenza virus
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78 | 36 | $50.00 | $15.80 |
|
87811
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
|
54 | 49 | $80.00 | $39.80 |
|
99285
Emergency department visit with high level of medical decision making
|
33 | 33 | $1528.18 | $141.86 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
31 | 30 | $240.00 | $103.08 |
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87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
|
26 | 26 | $50.00 | $15.58 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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22 | 22 | $300.00 | $134.91 |
|
81003
Automated urinalysis test
|
20 | 19 | $30.00 | $2.20 |
|
99284
Emergency department visit with moderate level of medical decision making
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19 | 19 | $1116.58 | $98.21 |
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71046
X-ray of chest, 2 views
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13 | 13 | $91.27 | $9.43 |
|
90471
Administration of vaccine
|
11 | 11 | $47.45 | $16.34 |
|
90714
Diphtheria and tetanus vaccine (7 years or older)
|
11 | 11 | $74.91 | $31.16 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 75 | 463 | $162.18 | 75 |
| Azithromycin | Azithromycin | 69 | 344 | $293.79 | 66 |
| Cephalexin | Cephalexin | 36 | 363 | $402.73 | 34 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 31 | 297 | $286.66 | 30 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 24 | 471 | $513.42 | 24 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 21 | 202 | $350.33 | 20 |
| Amoxicillin | Amoxicillin | 17 | 170 | $83.57 | 17 |
| Polymyxin B Sul-Trimethoprim | Polymyxin B Sulf/Trimethoprim | 16 | 272 | $104.34 | 16 |
| Fluticasone Propionate | Fluticasone Propionate | 15 | 720 | $119.08 | 14 |
| Mupirocin | Mupirocin | 14 | 187 | $117.00 | 14 |
| Cefdinir | Cefdinir | 13 | 121 | $123.40 | 13 |
| Methylprednisolone | Methylprednisolone | 11 | 66 | $66.84 | 11 |
| Clindamycin Hcl | Clindamycin Hcl | 11 | 98 | $109.18 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-02-13NUCC Taxonomy Code: 363A00000X
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20070118000165
PA
2163423195
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Commonwealth Physician Network Llc
4 E Main St, Nanticoke, PA 186341602
Phone: 5707357474
Commonwealth Physician Network Llc
423 3rd Ave, Kingston, PA 187045809
Phone: 5702883601
Commonwealth Physician Network Llc
575 N River St, Wilkes Barre, PA 187022634
Phone: 5705528938
Secondary Practice Locations
575 N River St
Wilkes Barre, PA 187640999
Phone: 5702709192
334 Main St
Dickson City, PA 185191668
Phone: 8889526772
677 Kidder St Ste D
Wilkes Barre Township, PA 187026914
Phone: 5708252046
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Urology
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 423 3RD AVE STE B, KINGSTON, PA 187045809 (Tel: 5702883601)
Registered at 423 3RD AVE STE B, KINGSTON, PA 187045809 (Tel: 5702883601)
NPI status registered as active in NPPES database
Registered at 575 N RIVER ST, WILKES BARRE, PA 187640999 (Tel: 5702709192)
Registered at PO BOX 349, DUNMORE, PA 185120349
Recorded as KYLE FETTEROLF, PA
Physician Assistant (license number reported to NPPES: PA MA001889L)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Kingston
- Elizabeth Bordy, PA-C
- Jessica Eberle, PA-C
- Bret Stemrich, PA
- Marlee Lambert, PA-C
- Gianna Moulton, PA-C
- Sarah Lorkowski
Mailing Address
423 3rd Ave Ste B
Kingston, PA 187045809
Phone: 5702883601