Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD055044L | PA |
NPI | 1023012945 |
---|---|
Provider Name | Dr. Kyle A Helwig |
First Address | Allentown, PA 18104-2309 |
Second Address | Allentown, PA 18104-2309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 23/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016463570007 | (05) | PA |
G53814 | (02) | PA |