Individual
KYLE LENEWEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
OS16687
FL
390200000X
Student in an Organized Health Care Education/Training Program
UO3919
FL
Other
Enumeration date
04/14/2015
Last updated
10/20/2020
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