MEDICARE: DR. KYLE CLAYTON AKERS M.D.

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
1	2083X0100X	Occupational Medicine Physician	26608	CO

General Provider Information

NPI Number	:	1558569384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KYLE CLAYTON AKERS M.D.

Provider Business Mailing Address
First Line	:	5265 CHAMPAGNE DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-3525
Country	:	US
Telephone Number	:	866-475-1230
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 N CIRCLE DR
Second Line	:	COLORADO SPRINGS UTILITIES SAFETY & HEALTH DEPT.
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-5121
Country	:	US
Telephone Number	:	719-668-7365
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	07/08/2007

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