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NPI Code Detail

MEDICARE: DR. KYLE STEVEN MARCOTTE D.O.

MEDICARE: DR. KYLE STEVEN MARCOTTE 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
1207R00000XInternal Medicine PhysicianOS019245PA
2208M00000XHospitalist Physician05-52245KS

General Provider Information

NPI Number : 1982097135
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE STEVEN MARCOTTE D.O.
Provider Business Mailing Address
First Line : 4000 CAMBRIDGE ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8501
Country : US
Telephone Number : 913-588-1227
Fax Number :
Provider Business Practice Location Address
First Line : 4000 CAMBRIDGE ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8501
Country : US
Telephone Number : 913-588-1227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2015
Last Update Date : 01/24/2026

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