Organization
KYLE T LEWIS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE T LEWIS MD (OWNER)
(601) 985-9120
Entity
Organization
Contact information
Practice address
501 BAPTIST DR STE 220, MADISON, MS 39110-2031
(601) 985-9120
(601) 985-9122
Mailing address
501 BAPTIST DR STE 220, MADISON, MS 39110-2031
(601) 985-9120
(601) 985-9122
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01823221
—
MS
01
—
302IL88328
PTAN
MS
Enumeration date
11/10/2025
Last updated
11/10/2025
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