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Individual
DR. KYLE JAMES MCDONOUGH
Active
Individual
DR. KYLE JAMES MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02009900
NJ
2251X0800X
Orthopedic Physical Therapist
40QA02009900
NJ
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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