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Kylen Larue, PA-C

Physician Assistant, Medical in Wilkes Barre, PA. Individual provider (NPI-1).

NPI number1699257576
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1699257576
Entity type
Individual (NPI-1)
Name
Kylen Larue
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Sep 6, 2018
Certification date
Jan 20, 2023
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical––Yes

Practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027

Phone 570-808-7300

Mailing address

139 Basin Hill Rd
Duncannon, PA 17020-9649

Phone 717-756-6713

Other practice locations

6481 Carlisle Pike
Mechanicsburg, PA 17050-2377

Phone 717-796-9355

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