Provider Demographics
NPI:1265053326
Name:KOSER, KYLE DAVID
Entity type:Individual
Prefix:MR
First Name:KYLE
Middle Name:DAVID
Last Name:KOSER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 AUTUMN WOODS CT
Mailing Address - Street 2:
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-1398
Mailing Address - Country:US
Mailing Address - Phone:717-982-8755
Mailing Address - Fax:
Practice Address - Street 1:229 AUTUMN WOODS CT
Practice Address - Street 2:
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-1398
Practice Address - Country:US
Practice Address - Phone:717-982-8755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1201XEye and Vision Services ProvidersTechnician/TechnologistOptometric Assistant