Individual
KYLE ALLEN BARNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203-5866
(704) 381-8840
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2022-01731
NC
208M00000X
Hospitalist Physician
2022-01731
NC
390200000X
Student in an Organized Health Care Education/Training Program
2022-01731
NC
Other
Enumeration date
03/25/2019
Last updated
12/18/2023
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