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Individual
DR. KYLE WOMACK
Active
Individual
DR. KYLE WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT4020
HI
2251S0007X
Sports Physical Therapist
Primary
4951
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
06/22/2015
Last updated
04/30/2024
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