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Individual

KYLE JACOB CHAMBERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15 PALOMBA DR STE 1, ENFIELD, CT 06082-3853
(860) 493-1950
(860) 493-1961
Mailing address
988 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4227
(860) 493-1950
(860) 493-1961

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
67549
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008103991
CT
01
D400763432
MEDICARE
CT
Enumeration date
03/31/2010
Last updated
05/08/2026
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