Individual
DR. JAMES RICHARD KYLER
Active
Individual
DR. JAMES RICHARD KYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10134247A
IN
207NS0135X
Procedural Dermatology Physician
10134247A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000308074
BCBS
—
01
—
01034247A
STATE LICENSE NUMBER
IN
01
—
01034247B
CSR LICENSE NUMBER
IN
05
—
100189720
—
IN
01
—
1494
PHP
—
01
—
4228227
AETNA
—
01
—
P00099686
MEDICARE RAILROAD
—
Enumeration date
09/24/2006
Last updated
03/07/2023
Update your record
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