Provider Demographics
NPI:1649245606
Name:SOLTYS, KYLE ANSEL (MD)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:ANSEL
Last Name:SOLTYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 5TH AVE
Mailing Address - Street 2:CHILDRENS HOSPITAL, SUITE 7N7950
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2524
Mailing Address - Country:US
Mailing Address - Phone:412-692-6110
Mailing Address - Fax:
Practice Address - Street 1:1215 LEE ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-2524
Practice Address - Country:US
Practice Address - Phone:434-924-3627
Practice Address - Fax:434-924-5539
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422144174400000X
VA0101256380204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101019190Medicaid
PAH71601Medicare UPIN
PA081056FKYMedicare ID - Type Unspecified