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General NPI Number Information
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NPI Number | 1801277074
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Entity Type | Individual
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Provider Name | KYLE LOUIS MCMENAMY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2015
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 3100 MIDWAY RD STE 168
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City | PLANO
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State | TX
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Zip | 75093-8472
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Country | US
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Telephone | 903-465-5012
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Fax |
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Provider Business Mailing Address
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Address Line | 3717 SILVER BIRCH DR
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City | MCKINNEY
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State | TX
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Zip | 75071-1943
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Country | US
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Telephone | 512-750-9500
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | T0564
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | T0564
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License Number State | TX
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