Individual
DR. KYLE EDWARD SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
935 MICA DR STE 13, CARSON CITY, NV 89705-7181
(775) 783-3065
(775) 267-1829
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
12366
NV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A73421
CA
Other
Enumeration date
04/17/2006
Last updated
09/03/2015
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