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General NPI Number Information
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NPI Number | 1053210757
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Entity Type | Individual
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Provider Name | KYLE THOMAS HOLMOK RN
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Gender | Male
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 29000 CENTER RIDGE RD
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City | WESTLAKE
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State | OH
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Zip | 44145-5219
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Country | US
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Telephone | 440-827-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 5854 LAYOR DR
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City | PARMA HEIGHTS
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State | OH
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Zip | 44130-1717
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Country | US
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Telephone | 440-821-3499
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 424793
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License Number State | OH
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