Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 0101256380 | VA |
NPI | 1649245606 |
---|---|
Provider Name | Dr. Kyle Ansel Soltys |
First Address | Pittsburgh, PA 15213-2524 |
Second Address | Charlottesville, VA 22908-2524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101019190 | (05) | PA |
H71601 | (02) | PA |