Individual
KYLE WESTON HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
BLDG 308 HM SMITH BLVD, CAMP LEJUENE, NC 28539
(910) 450-4300
Mailing address
BLDG 308 HM SMITH BLVD, CAMP LEJUENE, NC 28539
(910) 450-4300
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/06/2020
Last updated
06/17/2022
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