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Individual
KYLE LOPEZ
Active
Individual
KYLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1961
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051096597
BCBS
AL
01
—
10911827
AETNA/CAQH
AL
01
—
46674
HEALTHSPRINGS OF ALABAMA
AL
Enumeration date
02/09/2006
Last updated
12/05/2024
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