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Kyle Isom
NPI 1740896638 · on the registry since 2020 · sole proprietor
Practice
- Address
- 6148 Plymouth Ave
Richmond, CA 94805 - Phone
- (707) 365-3463
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-17
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 California