KYLE RICHARD CARLSON

WARSAW, IN
NPI1255718367
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IN  02006490A)
Enumeration Date2015-04-28
Last Update Date2024-12-10
Business Address
Dr. KYLE RICHARD CARLSON D.O.
1500 PROVIDENT DR STE B
WARSAW, IN 46580-3297
Phone number: 260-484-8551
Mailing Address
Dr. KYLE RICHARD CARLSON D.O.
5052 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-408-2203
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