Individual
DR. KYLE JORDAN DUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
999 ILLINOIS AVE, MAUMEE, OH 43537-1715
(419) 893-5591
Mailing address
999 ILLINOIS AVE, MAUMEE, OH 43537-1715
(419) 893-5591
(419) 251-6849
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34.016421
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2017
Last updated
09/15/2023
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