Individual
KYLE D HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-4960
(217) 203-6409
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-4960
(217) 203-6409
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
125.073263
IL
Other
Enumeration date
06/22/2018
Last updated
08/14/2023
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