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Individual
KYLE J. LEWIS
Active
Individual
KYLE J. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
2000028805
MD
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
09/28/2022
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