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General NPI Number Information
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NPI Number | 1144146317
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Entity Type | Organization
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Legal Business Name | RESILIENCE OSTEOPATHY P.L.L.C.
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 120 MARCELL DR NE STE C
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City | ROCKFORD
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State | MI
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Zip | 49341-1362
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Country | US
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Telephone | 231-878-6194
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Fax |
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Provider Business Mailing Address
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Address Line | 120 MARCELL DR NE STE C
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City | ROCKFORD
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State | MI
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Zip | 49341-1362
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KYLE G MCDONALD
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Credential | DO
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Telephone | 231-878-6194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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