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Individual
KYLE DAVID MOTSENBOCKER
Active
Individual
KYLE DAVID MOTSENBOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10190965
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
862777
BOARD OF NURSING
TX
01
—
F10190965
AANP-FNP CERTIFICATION
TX
Enumeration date
11/04/2019
Last updated
11/04/2019
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