Individual
KYLE DOUGLAS WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, PHD
Contact information
Practice address
355 W 16TH ST, INDIANAPOLIS, IN 46202-2207
(317) 963-7288
Mailing address
340 W 10TH ST, INDIANAPOLIS, IN 46202-3082
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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