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Individual
KYLE STAWITZKY
Active
Individual
KYLE STAWITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0102208053
VA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
113705
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2021
Last updated
10/05/2026
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