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NPI Code Detail

MEDICARE: KYLE DOERFLER

MEDICARE:   KYLE  DOERFLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument SpecialistHAD.0000280CO

General Provider Information

NPI Number : 1093106312
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE DOERFLER
Provider Business Mailing Address
First Line : 215 SHUMAN BLVD
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-8458
Country : US
Telephone Number : 630-303-5380
Fax Number : 978-313-6824
Provider Business Practice Location Address
First Line : 1440 W 29TH ST
Second Line : 300
City : LOVELAND
State : CO
Zip : 80538-2459
Country : US
Telephone Number : 970-461-7905
Fax Number : 970-461-7905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2015
Last Update Date : 02/09/2015

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Directions to “ KYLE DOERFLER ” Practice Location

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