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Individual
KYLE LUCAS MARTIN
Active
Individual
KYLE LUCAS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C, ENP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
854402
TX
363LF0000X
Family Nurse Practitioner
Primary
AP136590
TX
Other
Enumeration date
03/01/2018
Last updated
04/26/2024
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