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NPI Code Detail

MEDICARE: KYLE PIGMAN

MEDICARE: KYLE PIGMAN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1053518456
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE PIGMAN
Provider Business Mailing Address
First Line : 525 PINAL AVE
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-5303
Country : US
Telephone Number : 805-268-9622
Fax Number :
Provider Business Practice Location Address
First Line : 3840 ORCUTT GAREY RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-9629
Country : US
Telephone Number : 805-937-2826
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 07/08/2007

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Directions to “ KYLE PIGMAN ” Practice Location

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