KYLE LENEWEAVER

PENSACOLA, FL
NPI1326434556
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0127X Surgery, Trauma Surgery
(Licence: FL  OS16687)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  UO3919)
Enumeration Date2015-04-14
Last Update Date2020-10-20
Business Address
KYLE LENEWEAVER DO
5151 N 9TH AVE # 305
PENSACOLA, FL 32504-8721
Phone number: 850-416-6159
Mailing Address
KYLE LENEWEAVER DO
1125 SANSOM ST APT 517
PHILADELPHIA, PA 19107-4864
Phone number: 727-224-2059