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NPI Code Detail

MEDICARE: KYLE M GERBER B.S.

MEDICARE: KYLE M GERBER B.S.
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
12355S0801XSpeech-Language Assistant

General Provider Information

NPI Number : 1023381944
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE M GERBER B.S.
Provider Business Mailing Address
First Line : 33 N LINDSAY RD STE 111
Second Line :
City : GILBERT
State : AZ
Zip : 85234-5808
Country : US
Telephone Number : 480-632-2757
Fax Number : 480-632-1504
Provider Business Practice Location Address
First Line : 33 N LINDSAY RD STE 111
Second Line :
City : GILBERT
State : AZ
Zip : 85234-5808
Country : US
Telephone Number : 480-632-2757
Fax Number : 480-632-1504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2012
Last Update Date : 02/23/2012

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Directions to “ KYLE M GERBER B.S.” Practice Location

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