Individual
KYLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4481 SUGAR MAPLE DR., WRIGHT PATTERSON AFB, OH 45433
(937) 257-9514
Mailing address
4481 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5536
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
05-51245
KS
208600000X
Surgery Physician
Primary
34.016228
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2016
Last updated
10/02/2025
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