Individual
KYLE MARTEN ALTMAN
Active
Individual
KYLE MARTEN ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
40857
SC
207X00000X
Orthopaedic Surgery Physician
56665
KY
207X00000X
Orthopaedic Surgery Physician
Primary
U3776
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300064718
—
IN
05
—
7100825560
—
KY
Enumeration date
04/18/2017
Last updated
08/03/2023
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