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Individual

KYLE DOUGLAS PARISH

Active
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Individual

KYLE DOUGLAS PARISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
38909
KY
207QA0000X
Adolescent Medicine (Family Medicine) Physician
38909
KY
207QA0505X
Adult Medicine Physician
38909
KY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
38909
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64107030
KY
Enumeration date
06/29/2006
Last updated
08/13/2025
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