Individual
DR. KYLE HARRISON THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 S PACA ST STE 200, BALTIMORE, MD 21201-1668
(410) 328-8025
Mailing address
110 S PACA ST STE 200, BALTIMORE, MD 21201-1668
(410) 328-8025
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DR.0065421
CO
207P00000X
Emergency Medicine Physician
Primary
R4150
TX
Other
Enumeration date
04/10/2014
Last updated
12/20/2021
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