Individual
DR. KYLE CLEVELAND BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8631 W ARDENE ST, BOISE, ID 83709-2601
(208) 629-1904
Mailing address
911 N 16TH ST, BOISE, ID 83702-4010
(303) 718-9683
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8861778
ID
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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