Individual
KYLE RYLAND HANNABASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 LENNON LN STE 280, WALNUT CREEK, CA 94598-5915
(925) 932-3112
Mailing address
365 LENNON LN STE 280, WALNUT CREEK, CA 94598-5915
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A152363
CA
Other
Enumeration date
03/30/2016
Last updated
01/07/2025
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