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NPI Code Detail

MEDICARE: DR. KYLE RITCHIE BAHNSEN DNP

MEDICARE: DR. KYLE RITCHIE BAHNSEN DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP018974PA

General Provider Information

NPI Number : 1548744279
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE RITCHIE BAHNSEN DNP
Provider Business Mailing Address
First Line : 5426 MIFFLIN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15207-2350
Country : US
Telephone Number : 412-462-1800
Fax Number : 412-462-5006
Provider Business Practice Location Address
First Line : 5426 MIFFLIN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15207-2350
Country : US
Telephone Number : 412-462-1800
Fax Number : 412-462-5006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2018
Last Update Date : 10/06/2020

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