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Individual

KYLE N REDELMAN

Active
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Individual

KYLE N REDELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01070835A
IN
2085R0202X
Diagnostic Radiology Physician
11013884A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201064970
IN
01
P01085960
RR MEDICARE PIN
IN
Enumeration date
06/09/2008
Last updated
11/09/2012
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