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Kyle Kleinschmidt
NPI 1124403431 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3119 Washington Ave
Alton, IL 62002 - Phone
- (618) 463-9490
- Fax
- (618) 463-9491
- Organisation at this address
- Brad Mcmillin, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois