Individual
KYLER JOHN THOMETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
431 PARK RIDGE LN APT X, WINSTON SALEM, NC 27104-3563
(562) 714-9883
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
05/27/2025
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