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Individual

KYLE ANDREW PACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3400 HIGHWAY 78 E STE 316, JASPER, AL 35501-8951
(205) 385-7860
(205) 385-7861
Mailing address
1130 22ND ST S STE 1000, BIRMINGHAM, AL 35205-2881

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO.2054
AL

Other

Enumeration date
03/12/2013
Last updated
08/03/2019
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