Individual
KYLE SELJAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2401 S 31ST ST # MS 22117D, TEMPLE, TX 76508-0001
(254) 724-2585
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
U6343
TX
Other
Enumeration date
04/11/2022
Last updated
06/05/2024
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