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General NPI Number Information
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NPI Number | 1992044226
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Entity Type | Individual
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Provider Name | KYLE A INNES D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 54 MILLER RD STE 4
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City | MAHOPAC
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State | NY
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Zip | 10541-2223
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Country | US
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Telephone | 845-721-4358
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Fax | 845-621-2318
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Provider Business Mailing Address
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Address Line | 25 RIDGE ST
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City | BREWSTER
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State | NY
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Zip | 10509-2814
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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 |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 002270
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X012311-1
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License Number State | NY
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