Individual
KYLE JOSEPH ROYALTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 STANTON L YOUNG BLVD STE 137, OKLAHOMA CITY, OK 73104-5065
(405) 271-6060
Mailing address
909 HIGHLAND AVE, AUGUSTA, GA 30904-4665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11882
GA
207W00000X
Ophthalmology Physician
Primary
11882
OK
Other
Enumeration date
06/01/2020
Last updated
05/15/2021
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