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Individual

KYLE R. PILZ

Active
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Individual

KYLE R. PILZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003828A
IN
363AS0400X
Surgical Physician Assistant
Primary
085002192
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209118
MEDICARE PTAN LOCALITY 15
IL
01
209119
MEDICARE PTAN LOCALITY 16
IL
Enumeration date
05/30/2006
Last updated
06/16/2023
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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