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Individual
KYLE THOMAS ROCKWELL
Active
Individual
KYLE THOMAS ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS18821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114175400
—
FL
01
—
PH346
HF MA
FL
Enumeration date
04/20/2018
Last updated
01/18/2023
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