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Individual
KYLE MOMBELL
Active
Individual
KYLE MOMBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207X00000X
Orthopaedic Surgery Physician
29377
NE
207X00000X
Orthopaedic Surgery Physician
C179913
CA
207X00000X
Orthopaedic Surgery Physician
Primary
MD226288
OR
Other
Enumeration date
05/27/2015
Last updated
10/15/2025
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