DR. KYLE R KAULBACK (M.D.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1902872831

DR. KYLE R KAULBACK (M.D.) is a healthcare provider. based in Pottsville, Pennsylvania. specializing in Emergency Medical Services (Emergency Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. MD042359L (PA). The NPI Number for DR. KYLE R KAULBACK (M.D.) is 1902872831

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE R KAULBACK (M.D.)
NPI
1902872831
Phone
(570) 621-5064
Address
420 S Jackson St
Enumeration Date
28 February 2006
Last Update Date
4 August 2020

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
7172707500
Graduation Year
1988 (38 years ago)
PAC ID
1658539747
Group Practice PAC ID
1759301799
Professional Enrollment ID
I20120221000351
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. KYLE R KAULBACK (M.D.)

  • 420 S Jackson St

    Pottsville, PA 179013625

    Phone: (570) 621-5064

    Type: Location

  • Wayne Avenue, Wyomissing, Berks County, Pennsylvania, 19610, United States

    READING, PA 196071936

    Phone: (570) 621-5064

    Type: Mailing

  • Good Samaritan Hospital, 252, South 4th Street, Lebanon, Lebanon County, Pennsylvania, 17042, United States

    LEBANON, PA 170426111

    Phone: (717) 270-7500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759301799View full group profile

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Frequently asked questions

Where can patients find DR. KYLE R KAULBACK (M.D.)'s NPI?
You can confirm DR. KYLE R KAULBACK (M.D.) with NPI 1902872831; it appears in the national provider directory.
Is DR. KYLE R KAULBACK (M.D.) active in the national directory?
DR. KYLE R KAULBACK (M.D.)'s public NPI profile is in an active state.
Does DR. KYLE R KAULBACK (M.D.) list a primary specialty?
If you are matching referrals, note Emergency Medical Services (Emergency Medicine) Physician for DR. KYLE R KAULBACK (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KYLE R KAULBACK (M.D.)?
The snapshot lists Pottsville, Pennsylvania for DR. KYLE R KAULBACK (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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