Individual
DR. BRANDON NICHOLAS KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
905 JOHNS HOPKINS DR, GREENVILLE, NC 27834-2056
(252) 744-1406
(252) 744-2419
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4157
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165W6
BCBSNC
NC
05
—
6001315
—
NC
Enumeration date
07/28/2011
Last updated
02/16/2024
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