Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kylen Larue, PA-C

Individual provider Medical Physician Assistant · NPI 1699257576

Kylen Larue, PA-C is a Physician Assistant in Wilkes Barre, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Ucmg LLC, a 258-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone: (570) 808-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6481 Carlisle Pike, Mechanicsburg, PA 17050-2377 — (717) 796-9355

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1699257576
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 6, 2018
Last updated in NPPESSeptember 11, 2025
Certification dateJanuary 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ucmg Llc — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilkes Barre