Individual
MR. KYLE ANDREW TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
13 ABHC, BLDG 13129, OCEANSIDE, CA 92058
(760) 725-8829
Mailing address
8564 IVERSON ST, SAN DIEGO, CA 92123-2062
(818) 282-6239
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
01/24/2024
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