Provider Demographics
NPI:1518974971
Name:EMERICH, KYLE A (DC)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:A
Last Name:EMERICH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2591 BAGLYOS CIR
Mailing Address - Street 2:SUITE C-44
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8043
Mailing Address - Country:US
Mailing Address - Phone:610-730-4881
Mailing Address - Fax:
Practice Address - Street 1:2591 BAGLYOS CIR
Practice Address - Street 2:SUITE C-44
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8043
Practice Address - Country:US
Practice Address - Phone:610-730-4881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA009655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor