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Individual

DR. KYLE A TRUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3070 S WALNUT ST, #B, BLOOMINGTON, IN 47401-7333
(812) 287-8281
Mailing address
3070 S WALNUT ST, #B, BLOOMINGTON, IN 47401-7333
(812) 287-8281

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002585A
IN
111N00000X
Chiropractor
8159
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08002585A
STATE LICENSE
IN
01
1750646998
TAX ID - CLINIC
IN
Enumeration date
07/22/2010
Last updated
04/04/2016
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