Individual
DR. KYLE GLEAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1103 KINGS HWY N STE 203, CHERRY HILL, NJ 08034-1983
(185) 632-1191
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11134200
NJ
Other
Enumeration date
06/14/2018
Last updated
11/12/2021
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