DR. KYLE JOSEPH KING (NPI# 1982604625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982604625 |
| Entity Type | Individual |
| Full Name | DR. KYLE JOSEPH KING |
| Credential | M.D. |
| Practice Address |
815 Fairway Dr Brandenburg KY 40108-1415 |
| Practice Telephone | 2704224111 |
| Practice Fax Number | 2704223629 |
| Mailing Telephone | 2704224111 |
| Mailing Fax Number | 2704223629 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2009-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 32025 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KI6432025200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295243392 | Kyle King | Behavior Technician | 9852 Edmonton Dr, Land O Lakes, FL 34638-6048 | 2018-01-11 |
| 1912507617 | Kyle King | Pharmacist | 6760 Westworth Blvd, Westworth Village, TX 76114-4002 | 2020-10-30 |
| 1013514876 | Kyle King | Technician | 7762 W Sahara Ave, Las Vegas, NV 89117-2700 | 2020-10-05 |
| 1609408442 | Kyle King | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mt Pleasant, MI 48859-2033 | 2020-02-10 |
| 1689160129 | Kyle Reed King | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2018-07-09 |
| 1528444007 | Kyle King | Dentist | 1405 S John Redditt Dr, Lufkin, TX 75904-4811 | 2015-08-06 |
| 1902170574 | Kyle Stephanie King | Counselor | 1580 N Northwest Hwy, Suite 305a, Park Ridge, IL 60068-1444 | 2012-02-29 |
| 1598051948 | Kyle Wesley King | Optometrist | 213 Main St, Evansville, IN 47708 | 2011-06-23 |
| 1922323278 | Kyle Kidwell King IIi | Counselor | 1500 Franklin St, San Francisco, CA 94109-4523 | 2010-03-30 |
| 1538395322 | Kyle James King | Occupational Therapist | 8128 Florida Blvd, Denham Springs, LA 70726-7865 | 2009-06-07 |
| Street Address |
815 FAIRWAY DR |
| City | BRANDENBURG |
| State | KY |
| Zip Code | 40108-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083802151 | Kimberly Ann Devries | Physical Therapist | 815 Fairway Dr, Suite C, Brandenburg, KY 40108-1415 | 2007-10-14 |
| 1366548596 | Kentucky Orthopedic Rehabilitation, LLC | Clinic/Center | 815 Fairway Dr, Suite C, Brandenburg, KY 40108-1415 | 2006-09-15 |
| 1982666921 | Debra Hines | Physical Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-04-05 |
| 1083676308 | Jason Chambers | Physical Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-04-03 |
| 1306808712 | Dee Jay Hall | Occupational Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-04-03 |
| 1205898616 | Margaret King | Physical Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-04-03 |
| 1013979343 | Elizabeth Hite Rogers | Physical Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-04-03 |
| 1467414870 | Iris R Stull | Physical Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-04-03 |
| 1881655579 | Rob Gentile | Physical Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-03-31 |
| 1922069608 | Roger Robinson | Physical Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468036 | Elisabeth Shoulders | Specialist/Technologist | 1010 Turner Road, Brandenburg, KY 40108 | 2017-07-03 |
| 1760890958 | Kimberly Ryan | Social Worker | 2020 Bypass Rd, Brandenburg, KY 40108 | 2014-07-31 |
| 1962790600 | Meade Family Eye, Pllc | Optometrist | 664 By Pass Rd, Brandenburg, KY 40108 | 2011-07-15 |
| 1295066934 | Raymond Lewis Mathis | Family Medicine | 65 Cedar Vista Dr, Brandenburg, KY 40108 | 2010-01-20 |
| 1790951804 | Elizabeth Mary Wright | Physical Therapist | 1155 Old Ekron Rd, Brandenburg, KY 40108 | 2008-05-08 |
| 1427240704 | Bluegrass Massage Theraputics | Clinic/Center | 365 East Broadway Suite 2, Brandenburg, KY 40108 | 2007-08-10 |
| 1710969316 | Lincoln Trail District Health Dept | Public Health or Welfare | 520 Hillcrest Dr, Brandenburg, KY 40108 | 2005-11-18 |
| 1437676475 | Ack Healthcare Management, LLC | Nurse Practitioner | 2025 Bypass Rd Ste 205, Brandenburg, KY 40108 | 2017-08-29 |
| 1598135055 | Forefront Dermatology, S.c. | Dermatology | 100 Commerce Dr, C/o Brandenburg Diagnostic Center, Brandenburg, KY 40108 | 2015-09-28 |
| 1457479396 | Robert Eugene Smith | Family Medicine | 534 Hillcrest Drive, Brandenburg, KY 40108 | 2007-03-27 |
| Find all providers in zip 40108 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104486810 | Alternative Health Solutions LLC | Family Medicine | 1404 Old Ekron Rd, Brandenburg, KY 40108-8361 | 2019-06-14 |
| 1295066934 | Raymond Lewis Mathis | Family Medicine | 65 Cedar Vista Dr, Brandenburg, KY 40108 | 2010-01-20 |
| 1356328066 | Bryan M Honaker | Family Medicine | 815 Hillcrest Dr, Brandenburg, KY 40108-1415 | 2005-12-23 |
| 1780661306 | Teri Lynn Pierce | Family Medicine | 815 Hilcrest Drive, Brandenburg, KY 40108-1415 | 2005-12-23 |
| 1457479396 | Robert Eugene Smith | Family Medicine | 534 Hillcrest Drive, Brandenburg, KY 40108 | 2007-03-27 |
| 1679632939 | Jeanetta Lee Bosley | Family Medicine | 534 Hillcrest Dr, Brandenburg, KY 40108-1222 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | BRANDENBURG |
| Zip Code | 40108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.