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Individual
KYLE MELLINGER
Active
Individual
KYLE MELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305211157
VA
225100000X
Physical Therapist
Primary
26712
MD
225100000X
Physical Therapist
8617
SC
Other
Enumeration date
10/27/2017
Last updated
02/05/2024
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