Individual
DR. KYLE MIHAYLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1706 S MERIDIAN, PUYALLUP, WA 98371-7516
(253) 848-8797
Mailing address
1706 S MERIDIAN, PUYALLUP, WA 98371-7516
(253) 848-8797
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
MD61296869
WA
208000000X
Pediatrics Physician
MD61296869
WA
2080S0010X
Pediatric Sports Medicine Physician
Primary
MD61296869
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2018
Last updated
07/01/2022
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