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NPI Code Detail

MEDICARE: CHRISTOPHER ANGELO KYLE

MEDICARE: CHRISTOPHER ANGELO KYLE
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
1152W00000XOptometrist4901005928MI

General Provider Information

NPI Number : 1922947134
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER ANGELO KYLE
Provider Business Mailing Address
First Line : 16 ELDER DR
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-1629
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 325 E H ST
Second Line :
City : IRON MOUNTAIN
State : MI
Zip : 49801-4760
Country : US
Telephone Number : 906-774-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ CHRISTOPHER ANGELO KYLE ” Practice Location

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