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KYLE STANLEY PLINE DO
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1487791448
Individual Registrant: KYLE STANLEY PLINE DO
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1042 S RAVENNA RD RAVENNA, MI 49451-9583 US
Tel: 231-853-2519 Fax: 231-853-2838
Tel: 231-853-2519 Fax: 231-853-2838
Contact information for business:
1042 S RAVENNA RD RAVENNA, MI 49451-9583 US
Tel: 231-853-2519 Fax: 231-853-2838
Tel: 231-853-2519 Fax: 231-853-2838
Registration Information:
NPI: 1487791448
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | MI | 5101016038 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 5184911 | MI | 05 |
