Individual
DR. KYLE SHIGERU MATSUMURA
Active
Individual
DR. KYLE SHIGERU MATSUMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
951306801205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
951306801205
UTAH MEDICAL LICENSE #
UT
05
—
D5367
—
UT
01
—
G79891
CAL MEDICAL LICENSE #
UT
Enumeration date
07/04/2006
Last updated
03/07/2023
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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