Individual
MR. KYLE HOFFPAUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR 1671
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143676721
—
AR
01
—
5X236
BLUE CROSS & BLUE SHIELD
AR
Enumeration date
01/23/2007
Last updated
07/22/2009
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