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Individual
KYLE T DARRAS
Active
Individual
KYLE T DARRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
R26923
ND
363L00000X
Nurse Practitioner
Primary
R26923
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25358
KYLE'S BCBS
ND
01
—
R26923
STATE LIC#
ND
Enumeration date
02/13/2007
Last updated
03/21/2018
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