Individual
DR. KYLE L PRUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
530 HAYWOOD RD, GREENVILLE, SC 29607-2711
(925) 766-8275
Mailing address
1 VALHALLA LN, SIMPSONVILLE, SC 29681-4371
(925) 766-8275
(925) 449-1302
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15362
CA
111N00000X
Chiropractor
DC29328
CA
Other
Enumeration date
07/09/2006
Last updated
10/27/2021
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