MEDICARE: KYLIE MARGARET SCHUCK PA

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1013629872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLIE MARGARET SCHUCK PA

Provider Business Mailing Address
First Line	:	1859 WALNUT GROVE DR
Second Line	:
City	:	STATE COLLEGE
State	:	PA
Zip	:	16801-8442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 BLUE RIDGE RD STE 210
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-8087
Country	:	US
Telephone Number	:	919-781-9979
Fax Number	:	919-781-0124

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2022
Last Update Date	:	06/09/2026

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Directions to “ KYLIE MARGARET SCHUCK PA” Practice Location

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