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Individual

THOMAS ROGERS KYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD029468
PA
207R00000X
Internal Medicine Physician
AL32157
SC
207R00000X
Internal Medicine Physician
MD029468E
PA
208M00000X
Hospitalist Physician
Primary
AL32157
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009135900001
PA
Enumeration date
02/15/2006
Last updated
10/20/2020
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