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Individual
MR. KYLE PATRICK URBANEK
Active
Individual
MR. KYLE PATRICK URBANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP134194
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380278704
—
TX
01
—
817780
MEDICARE
TX
01
—
8LE707
BCBS
TX
01
—
P02270110
MEDICARE RAIL ROAD
TX
Enumeration date
05/31/2017
Last updated
09/11/2019
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