Individual
DR. KYLE MAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
399
AL
213ES0103X
Foot & Ankle Surgery Podiatrist
PR370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331381
LSBME
LA
Enumeration date
04/24/2014
Last updated
07/30/2024
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