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Individual
KYLE G CROOKER
Active
Individual
KYLE G CROOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0017060
VT
207R00000X
Internal Medicine Physician
4301518172
MI
207RI0200X
Infectious Disease Physician
Primary
4301518172
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
06/15/2026
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