Individual
KYLE BEDENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5629 HWY 21 S, RINCON, GA 31326-9416
(912) 295-2133
(912) 295-5924
Mailing address
5629 HWY 21 S, RINCON, GA 31326-9416
(912) 295-2133
(912) 295-5924
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
85081
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
05/22/2020
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