Individual
KYLE ROBERT SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3515 W MARKET ST STE 210, GREENSBORO, NC 27403-4442
(336) 660-5480
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
239552
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
239552
NC
Other
Enumeration date
04/26/2018
Last updated
08/11/2023
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