Kyle Wayne Herbold in Stockton - Dermatology
Kyle Wayne Herbold - NPI 1568407013
Kyle Wayne Herbold is a Dermatology in Stockton, California. Kyle Wayne Herbold practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Kyle Wayne Herbold is 1568407013. The last update date is 2007-07-13.
Kyle Wayne Herbold's current location address is 4553 Quail Lakes Dr, Stockton, California. You can contact this provider via phone number 2099511133 and fax number 2099514708. The mailing address for Kyle Wayne Herbold is 4553 Quail Lakes Dr, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle Wayne Herbold |
|---|---|
| Address | 4553 Quail Lakes Dr, Stockton, California |
| Phone Number | 2099511133 |
| Fax Number | 2099514708 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1568407013 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 4553 Quail Lakes Dr |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 95207 |
| Phone Number | 2099511133 |
| Fax Number | 2099514708 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | A068815 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Post Comment/ Review Below
What is the Kyle Wayne Herbold's unique identification number?
The Kyle Wayne Herbold has been assigned the NPI (National Provider Identifier) Number 1568407013 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Kyle Wayne Herbold is geographically located?
The Kyle Wayne Herbold is physically situated at the following location: 4553 Quail Lakes Dr, Stockton, CA, 95207.
What is Kyle Wayne Herbold's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kyle Wayne Herbold is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568407013 to Kyle Wayne Herbold?
The Centers for Medicare & Medicaid Services originally issued the 1568407013 to Kyle Wayne Herbold on 2006-06-18.
When was the information related to Kyle Wayne Herbold most recently updated or refreshed?
The details pertaining to the Kyle Wayne Herbold, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-13.