Individual
DR. KYLE DEROUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5040
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5040
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02005651A
IN
207P00000X
Emergency Medicine Physician
036.149827
IL
207P00000X
Emergency Medicine Physician
16554
ND
207P00000X
Emergency Medicine Physician
2019024515
MO
207P00000X
Emergency Medicine Physician
Primary
U7191
TX
Other
Enumeration date
06/28/2016
Last updated
05/03/2024
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