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Dr. Kyle W. Griffin, M.D.

Family Medicine in Springfield, MO. Individual provider (NPI-1).

NPI number1710076948
StatusActive
Last updated in NPPESJan 11, 2023

Details

NPI
1710076948
Entity type
Individual (NPI-1)
Name
Dr. Kyle W. Griffin
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 12, 2006
Certification date
Jan 11, 2023
Last updated
Jan 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2001014625MOYes

Practice location

3800 S National Ave Ste 700
Springfield, MO 65807-5279

Phone 417-269-8817 · Fax 417-269-8744

Mailing address

Po Box 4046
Springfield, MO 65808-4046

Phone 417-269-5712 · Fax 417-269-7567

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