Provider Demographics
NPI:1376846071
Name:KYLE C. BIEBER
Entity Type:Organization
Organization Name:KYLE C. BIEBER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-685-7242
Mailing Address - Street 1:2704 BERNVILLE RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-9448
Mailing Address - Country:US
Mailing Address - Phone:610-685-7242
Mailing Address - Fax:610-685-7231
Practice Address - Street 1:2704 BERNVILLE RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-9448
Practice Address - Country:US
Practice Address - Phone:610-685-7242
Practice Address - Fax:610-685-7231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-19
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007880L332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1376846071OtherNPI
6491870001Medicare NSC