Individual
KYLE ALEXANDER WUTHRICH
Active
Individual
KYLE ALEXANDER WUTHRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
OS19078
FL
2084N0400X
Neurology Physician
Primary
OS19078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115011500
—
FL
Enumeration date
03/26/2017
Last updated
08/10/2022
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