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WILEY KYLE ABBOTT MD

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1992327928

Individual Registrant:
 WILEY KYLE ABBOTT MD
Gender: M
Sole Proprietor

Location and contact information for practice:
300 E 6TH ST  TEXARKANA, AR 71854-5207 US
Tel: 870-779-6000  Fax: 870-779-6093

Contact information for business:
3417 U OF A WAY  TEXARKANA, AR 71854-1419 US
Tel: 870-779-6000  Fax: 870-779-6093

Registration Information:
NPI: 1992327928
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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