MEDICARE: DR. KYLE N REMICK MD

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	171000000X	Military Health Care Provider	25MA07029700	NJ
2	171000000X	Military Health Care Provider	MD0000042297	TN
3	208600000X	Surgery Physician	MD442554	PA
4	2086S0102X	Surgical Critical Care Physician	MD442554	PA
5	2086S0102X	Surgical Critical Care Physician	D80156	MD

General Provider Information

NPI Number	:	1659315356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KYLE N REMICK MD

Provider Business Mailing Address
First Line	:	11110 MEDICAL CAMPUS RD STE 143
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21742-6755
Country	:	US
Telephone Number	:	301-714-4350
Fax Number	:

Provider Business Practice Location Address
First Line	:	11110 MEDICAL CAMPUS RD STE 143
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21742-6755
Country	:	US
Telephone Number	:	301-714-4350
Fax Number	:

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	12/05/2023

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Directions to “ DR. KYLE N REMICK MD” Practice Location

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