Individual
KYLE RESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3779 TRUEMAN CT, HILLIARD, OH 43026-2496
(330) 379-5083
Mailing address
PO BOX 675103, DETROIT, MI 48267-5103
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.133881
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.133881
STATE LICENSE
OH
Enumeration date
04/05/2016
Last updated
09/17/2020
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