Individual
KYLE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
194686
CT
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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