Provider Demographics
NPI:1194187260
Name:BESS, KYLE MITCHELL (MD)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:MITCHELL
Last Name:BESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8371 HIGHWAY 72 W STE 206
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-9505
Mailing Address - Country:US
Mailing Address - Phone:256-817-5951
Mailing Address - Fax:256-817-5952
Practice Address - Street 1:8371 HIGHWAY 72 W STE 206
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9505
Practice Address - Country:US
Practice Address - Phone:256-817-5951
Practice Address - Fax:256-817-5952
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2023-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL42689208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery