Individual
MICHAEL KYRELLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 4TH ST, LONGVIEW, TX 75605-5128
(903) 758-1818
Mailing address
2901 4TH ST, LONGVIEW, TX 75605-5128
(903) 758-1818
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME 126884
FL
207Q00000X
Family Medicine Physician
35.126771
OH
207Q00000X
Family Medicine Physician
5315073808
MI
Other
Enumeration date
06/21/2012
Last updated
04/06/2016
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