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1578559696
KYLE F FORT
RONCEVERTE, WV
NPI
1578559696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: WV 13512)
Enumeration Date
2005-09-23
Last Update Date
2020-09-16
Business Address
KYLE F FORT MD
1521 MAPLEWOOD AVE
RONCEVERTE, WV 24970-8026
Phone number: 304-647-5642
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Mailing Address
KYLE F FORT MD
176 DAWKINS DR
LEWISBURG, WV 24901-9302
Phone number: 304-647-4411
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