Individual
DR. KYLE DEERWESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7580
(508) 941-6268
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7580
(508) 941-6268
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD21241
RI
2080P0203X
Pediatric Critical Care Medicine Physician
036.159618
IL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
1019638
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2018
Last updated
04/10/2026
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