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Individual
KYLE TEGTMEYER
Active
Individual
KYLE TEGTMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.077673
IL
2085N0700X
Neuroradiology Physician
Primary
125077673
IL
390200000X
Student in an Organized Health Care Education/Training Program
71415
CT
Other
Enumeration date
08/28/2017
Last updated
06/17/2026
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