Individual
KYLE C BALCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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