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Individual
KYLE MATTHEW JUDKINS
Active
Individual
KYLE MATTHEW JUDKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2017-01214
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2017-01214
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NN8581A
MEDICARE
NC
Enumeration date
04/07/2015
Last updated
04/17/2026
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