Individual
DR. KYLE RAYMOND KWON DEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
164185
AK
103TA0400X
Addiction (Substance Use Disorder) Psychologist
164185
AK
103TC0700X
Clinical Psychologist
022959
NY
Other
Enumeration date
10/11/2018
Last updated
11/30/2022
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