Individual
MICHAEL K KYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
422 HAMILTON BLVD, SOUTH BOSTON, VA 24592-5200
(434) 572-4074
(434) 572-4712
Mailing address
PO BOX 860, SOUTH BOSTON, VA 24592-0860
(434) 517-3590
(434) 517-3887
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23806
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073544094
—
VA
Enumeration date
07/06/2006
Last updated
08/04/2016
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