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NPI Code Detail

MEDICARE: DR. KYLE DAVID TOTI D.O.

MEDICARE: DR. KYLE DAVID TOTI D.O.
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
1207Q00000XFamily Medicine Physician2105011455MO

General Provider Information

NPI Number : 1669735791
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE DAVID TOTI D.O.
Provider Business Mailing Address
First Line : 6420 THE CEDARS CT
Second Line :
City : CEDAR HILL
State : MO
Zip : 63016-2222
Country : US
Telephone Number : 636-274-2700
Fax Number : 636-529-0699
Provider Business Practice Location Address
First Line : 6420 THE CEDARS CT
Second Line :
City : CEDAR HILL
State : MO
Zip : 63016-2222
Country : US
Telephone Number : 636-274-2700
Fax Number : 636-529-0699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2012
Last Update Date : 03/07/2016

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