Individual
KYLE ANDREW PRICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 RIVERSIDE CIR STE 300, ROANOKE, VA 24016-4962
(540) 581-0170
(540) 344-2180
Mailing address
1 RIVERSIDE CIR STE 300, ROANOKE, VA 24016-4962
(540) 581-0170
(540) 344-2180
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101259772
VA
Other
Enumeration date
04/19/2011
Last updated
12/09/2020
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