Kyle Avery
Military Health Care Provider in Fort Bragg, NC. Individual provider (NPI-1).
NPI number1093646531
StatusActive
Last updated in NPPESOct 26, 2026
Details
- NPI
- 1093646531
- Entity type
- Individual (NPI-1)
- Name
- Kyle Avery
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 26, 2026
- Certification date
- Oct 26, 2026
- Last updated
- Oct 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171000000X | Military Health Care Provider | – | – | Yes |
Practice location
2817 Rock Merritt AveFort Bragg, NC 28310-0001
Phone 910-907-6670
Mailing address
2817 Rock Merritt AveFort Bragg, NC 28310-0001
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