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NPI Code Detail

MEDICARE: KYLE TARRO DO

MEDICARE: KYLE TARRO DO
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
1207P00000XEmergency Medicine Physician0102208261VA

General Provider Information

NPI Number : 1962143305
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE TARRO DO
Provider Business Mailing Address
First Line : 19339 BENNS GRANT BLVD
Second Line :
City : SMITHFIELD
State : VA
Zip : 23430-6393
Country : US
Telephone Number : 757-674-8030
Fax Number : 757-279-6129
Provider Business Practice Location Address
First Line : 500 J CLYDE MORRIS BLVD
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23601-1929
Country : US
Telephone Number : 757-612-7200
Fax Number : 757-594-3184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2022
Last Update Date : 03/16/2026

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Directions to “ KYLE TARRO DO” Practice Location

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