- Practice location
- 6 Glen Cove Dr, Rockport, ME 04856-4272
- Phone
- 207-301-8000
- Fax
- —
- Last updated
- May 19, 2020
Kyle Ettinger is an Emergency Medicine based in Rockport, ME. Kyle Ettinger practices in Rockport, ME and has the professional credentials of DO. The NPI Number for Kyle Ettinger is 1477088672 and holds a License No. DO3070 (ME). The current practice location address for Kyle Ettinger is 6 Glen Cove Dr, Rockport, ME 04856-4272 and can be reached out via phone at 207-301-8000.
Provider Profile Details
- NPI Number
- 1477088672
- Provider Name
- Kyle Ettinger
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6 Glen Cove Dr, Rockport, ME 04856-4272
- Phone Number
- 207-301-8000
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 25, 2017
- Last Update Date
- May 19, 2020
- Certification Date
- May 19, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Glen Cove Dr
Rockport, ME 04856-4272 - City
- Rockport
- State
- Maine
- Zip
- 04856-4272
- Phone Number
- 207-301-8000
Provider Business Mailing Address Details
- Address
- 100 High St
Bgh Department Of Emergency Medicine (D-6)
Buffalo, NY 14203-1126 - City
- Buffalo
- State
- NY
- Zip
- 14203-1126
- Phone Number
- 716-859-1499
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- DO3070
- License State (2)
- ME
- Taxonomy (2)
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Emergency Medicine providers near Rockport, ME
View all Emergency Medicine providers in Rockport →- Alison E Bryant, MDEmergency Medicine · NPI 1649905910
- Bruce B Lowry, MDEmergency Medicine · NPI 1013202019
- Chris J Michalakes, DOEmergency Medicine · NPI 1659464386
- Dr. Derek Lubetkin, MDEmergency Medicine · NPI 1831755453
- Dr. John W Randolph, DOEmergency Medicine · NPI 1225296577
- Dr. Joseph J Manavola, MDEmergency Medicine · NPI 1659468395
Frequently Asked Questions
What is the NPI number of Kyle Ettinger, DO?
The NPI number of Kyle Ettinger, DO is 1477088672. It was assigned on April 25, 2017 and is currently active in the NPPES registry.
What is the specialty of Kyle Ettinger, DO?
Kyle Ettinger, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in ME under license number DO3070.
Where does Kyle Ettinger, DO practice?
The practice location is 6 Glen Cove Dr, Rockport, ME 04856-4272. The office can be reached at 207-301-8000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477088672 directly on the NPPES registry website.