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Individual
MATTHEW R PYLE
Active
Individual
MATTHEW R PYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05-08994
KS
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
05-37994
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-37994
KS LICENSE
KS
05
—
2011381308
—
KS
Enumeration date
05/12/2014
Last updated
02/26/2020
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