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NPI Code Detail

MEDICARE: MR. KYLE NEWBREY D.P.T.

MEDICARE:  MR. KYLE  NEWBREY  D.P.T.
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
1225100000XPhysical Therapist34115CA

General Provider Information

NPI Number : 1568691715
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KYLE NEWBREY D.P.T.
Provider Business Mailing Address
First Line : 9201 W SUNSET BLVD STE M140
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90069-3700
Country : US
Telephone Number : 310-860-9720
Fax Number :
Provider Business Practice Location Address
First Line : 9201 W SUNSET BLVD STE M140
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90069-3700
Country : US
Telephone Number : 310-860-9720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2009
Last Update Date : 07/26/2010

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Directions to “ MR. KYLE NEWBREY D.P.T.” Practice Location

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