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NPI Code Detail

MEDICARE: DR. KYLE HOWELL M.D.

MEDICARE: DR. KYLE HOWELL M.D.
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
1207P00000XEmergency Medicine PhysicianA75381CA

General Provider Information

NPI Number : 1093860645
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE HOWELL M.D.
Provider Business Mailing Address
First Line : PO BOX 660
Second Line : 85 SIERRA PARK RD
City : MAMMOTH LAKES
State : CA
Zip : 93546-0660
Country : US
Telephone Number : 760-924-4032
Fax Number : 760-924-4081
Provider Business Practice Location Address
First Line : 85 SIERRA PARK RD
Second Line :
City : MAMMOTH LAKES
State : CA
Zip : 93546-0660
Country : US
Telephone Number : 760-924-4032
Fax Number : 760-924-4081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 12/19/2020

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