# KYLE BRITTON NAGLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104990209
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 55902-020 | WI | — |
| 208000000X | Pediatrics Physician | MD00045389 | WA | — |
| 2080S0010X | Pediatric Sports Medicine Physician | 55902-020 | WI | — |
| 2080S0010X | Pediatric Sports Medicine Physician | DR.0052918 | CO | — |
| 2080S0010X | Pediatric Sports Medicine Physician | MD00045389 | WA | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 12/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1104990209 | — | WA |