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NPI Code Detail

MEDICARE: DR. KYLE NAYLOR D.C.

MEDICARE: DR. KYLE NAYLOR D.C.
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
1111N00000XChiropractorDC011229PA

General Provider Information

NPI Number : 1053842427
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE NAYLOR D.C.
Provider Business Mailing Address
First Line : 149 MILL POND PL
Second Line :
City : LANGHORNE
State : PA
Zip : 19047-2338
Country : US
Telephone Number : 267-981-9417
Fax Number :
Provider Business Practice Location Address
First Line : 2808 SOUTHAMPTON RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19154-1207
Country : US
Telephone Number : 215-637-1212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2017
Last Update Date : 03/27/2017

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