Individual
DR. KYLE KJOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
320 E NORTH AVE, ALLEGHENY GENERAL HOSPITAL, PITTSBURGH, PA 15212-4756
(412) 359-6726
Mailing address
320 E NORTH AVE, ALLEGHENY GENERAL HOSPITAL, PITTSBURGH, PA 15212-4756
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207L00000X
Anesthesiology Physician
032-0133890
VT
207L00000X
Anesthesiology Physician
Primary
23919
MS
208D00000X
General Practice Physician
23919
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00224574
—
MS
01
—
435134
MEDICARE
—
Enumeration date
05/28/2014
Last updated
02/25/2020
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