Individual
DR. KYLE DEAN PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 CHAPEL ST, SUITE 1212, NEW HAVEN, CT 06510-2802
(203) 777-0609
Mailing address
40 TRUMBULL RD, NORTHAMPTON, MA 01060-3023
(413) 584-5811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A15783
CT
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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