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Kyle Michael

Student in an Organized Health Care Education/Training Program in Cuyahoga Falls, OH. Individual provider (NPI-1).

NPI number1063264752
StatusActive
Last updated in NPPESApr 4, 2024

Details

NPI
1063264752
Entity type
Individual (NPI-1)
Name
Kyle Michael
Sex
Male
Sole proprietor
No
Enumeration date
Apr 4, 2024
Certification date
Mar 28, 2024
Last updated
Apr 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1900 23rd St
Cuyahoga Falls, OH 44223-1404

Phone 330-971-7225

Mailing address

8850 Martha Way
Waterford, PA 16441-4074

Phone 814-897-3489

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