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Individual

DR. KYLE OLAF ROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13123 E 16TH AVE, AURORA, CO 80045
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
2017016678
MO
2088P0231X
Pediatric Urology Physician
Primary
DR.0060037
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689816720
MO
05
ENROLLED
IL
Enumeration date
04/06/2009
Last updated
09/08/2018
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