Individual
KYLE J TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 HERITAGE WAY, KALISPELL, MT 59901-3102
(406) 752-8330
Mailing address
160 HERITAGE WAY, KALISPELL, MT 59901-3102
(406) 752-8330
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
TRN12195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487818944
—
MT
01
—
22321
MT STATE LICENSE
MT
01
—
TRN12195
FLORIDA MEDICAL LICENSE
FL
Enumeration date
07/14/2008
Last updated
03/07/2023
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