| NPI | 1902498686 |
|---|---|
| Doing Business As | KM NEUROSURGERY CLINIC |
| Former Legal Business Name | KYLE J MANGELS MD, PLC |
| Entity Type | Organization |
| Authorized Contact | BRITTNEY PAYNE Office Manager 918-600-0327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2022-06-23 |