Provider Demographics
NPI:1275842361
Name:MUNDAY, KYLE R (PA-C)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:R
Last Name:MUNDAY
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2165 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8809
Mailing Address - Country:US
Mailing Address - Phone:828-324-2800
Mailing Address - Fax:828-294-9141
Practice Address - Street 1:503 E PARKER RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-5104
Practice Address - Country:US
Practice Address - Phone:828-437-6500
Practice Address - Fax:828-438-0836
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2016-04-29
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Provider Licenses
StateLicense IDTaxonomies
NC0010-02559363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical