Kyle William Mangan | Langhorne, PA • PECOS Search

Kyle William Mangan

Counselor

Behavioral Health & Social Service Providers

4 Cornerstone Dr, Langhorne, PA 19047-1314

(215) 757-6916 (708) 275-0556

PECOS Enrollment

Based on the most recent information from CMS, provider Kyle William Mangan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:36 AM.

Profile Details

Provider ID
1730555913
Provider Type
Individual
Full Name
Mangan, Kyle William
Gender
Male

Sole Proprietor
No
Enumeration Date
8/11/2015
Last Updated
8/11/2015

Contact Information

Practice Location

4 Cornerstone Dr, Langhorne, PA 19047-1314

Unlisted Fax

Mailing Location

700 Lower State Rd, Apt 10c8, North Wales, PA 19454-2167

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer