Individual
KYLE C BALCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6717 NW 11TH PLACE SUITE A, STE A, GAINESVILLE, FL 32605-4233
(352) 331-7811
(352) 331-3219
Mailing address
6717 NW 11TH PL, STE A, GAINESVILLE, FL 32605-4233
(352) 331-7811
(352) 331-3219
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME74445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273924
AVMED
FL
01
—
43418
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/24/2005
Last updated
02/29/2008
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