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Individual

KYLE M LEMLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 UNIVERSITY OF NEW MEXICO, MSC10 5590, ALBUQUERQUE, NM 87131-0001
(505) 272-3172
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC10 5590, ALBUQUERQUE, NM 87131-0001
(505) 272-3172

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2012012816
MO
208000000X
Pediatrics Physician
35097005
OH
2080P0203X
Pediatric Critical Care Medicine Physician
01078297A
IN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD2015-0222
NM
2080P0203X
Pediatric Critical Care Medicine Physician
ME129316
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0050928
OH
01
H013090
MEDICARE
OH
Enumeration date
07/11/2008
Last updated
02/20/2020
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