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Individual

KYLE NATHANIEL KLINGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1415 PARKVIEW DR., TWIN FALLS, ID 83301-3250
(208) 734-8934
(208) 734-8974
Mailing address
1415 PARKVIEW DR, TWIN FALLS, ID 83301
(208) 734-8934
(208) 734-8974

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M12126
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1861727323
ID
01
P01213576
RAILROAD MEDICARE
ID
Enumeration date
10/15/2009
Last updated
01/06/2015
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