Individual
DR. KYLE R MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1013 GALLERIA BLVD STE 205, ROSEVILLE, CA 95678-1363
(916) 918-2952
(916) 918-2953
Mailing address
1013 GALLERIA BLVD STE 205, ROSEVILLE, CA 95678-1363
(916) 918-2952
(916) 918-2953
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
006971
AZ
207X00000X
Orthopaedic Surgery Physician
2011018228
MO
207X00000X
Orthopaedic Surgery Physician
Primary
20A15548
CA
Other
Enumeration date
07/22/2011
Last updated
01/12/2022
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