Individual
KYLE RAWLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1940 LAWNRIDGE ST, MEDFORD, OR 97504-6317
(541) 973-4449
Mailing address
1940 LAWNRIDGE ST, MEDFORD, OR 97504-6317
(541) 973-4449
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19599
OR
Other
Enumeration date
08/26/2014
Last updated
11/07/2016
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