Individual
KYLE ALLEN SPANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 GRESHAM DR STE 204, NORFOLK, VA 23507-1904
(757) 388-5680
Mailing address
600 GRESHAM DR STE 204, NORFOLK, VA 23507-1904
(757) 388-5680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006750
VA
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
03/28/2019
Last updated
06/03/2025
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