Individual
KYLE STEVEN JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3023 S FORT AVE, SPRINGFIELD, MO 65807-5196
(417) 605-7100
(417) 771-3723
Mailing address
2864 S NETTLETON AVE, SPRINGFIELD, MO 65807-5970
(417) 874-1906
(417) 771-3723
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2000158907
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100178800A
—
OK
05
—
1518031699
—
MO
05
—
NP0487800
—
AR
01
—
P00700779
RAILROAD MEDICARE
MO
Enumeration date
11/20/2006
Last updated
02/04/2025
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