Individual
KYLE KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 W 38TH ST STE 200, AUSTIN, TX 78705-1165
(512) 421-4235
(512) 454-4575
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
BP10044571
TX
208800000X
Urology Physician
Primary
R1229
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370874502
—
TX
05
—
370874503
—
TX
05
—
370874504
—
TX
Enumeration date
05/11/2012
Last updated
08/25/2021
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