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Individual

DR. KYLE GRIFFITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
(815) 490-1851
Mailing address
1200 W STATE ST, ROCKFORD, IL 61102-2112

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.171196
IL

Other

Enumeration date
07/06/2021
Last updated
07/21/2024
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