Individual
JAMES M KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1110 A1A N, #101, PONTE VEDRA, FL 32082-4070
(904) 280-8657
(904) 280-8659
Mailing address
1909 OLD POWELL RD, LEWISBURG, WV 24901-1823
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
039614
GA
207Q00000X
Family Medicine Physician
ME83612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00920389A
—
GA
01
—
PENDING
MEDICARE
FL
Enumeration date
03/03/2006
Last updated
10/09/2023
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