Kyle Altman, DO
Emergency Medicine in Brooksville, FL. Individual provider (NPI-1).
NPI number1982233201
StatusActive
Last updated in NPPESMar 9, 2023
Details
- NPI
- 1982233201
- Entity type
- Individual (NPI-1)
- Name
- Kyle Altman
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 7, 2020
- Certification date
- Mar 9, 2023
- Last updated
- Mar 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | OS19480 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
11375 Cortez BlvdBrooksville, FL 34613-5409
Phone 912-687-6804
Mailing address
702 Belmont RdgLawrenceville, GA 30043-2402
Phone 912-687-6804
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