Provider Demographics
NPI:1225576846
Name:HASSELL, KYLE BENDAL (DC)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:BENDAL
Last Name:HASSELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 E BELT LINE RD
Mailing Address - Street 2:180
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2422
Mailing Address - Country:US
Mailing Address - Phone:469-272-7000
Mailing Address - Fax:469-272-3069
Practice Address - Street 1:950 E BELT LINE RD
Practice Address - Street 2:180
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2422
Practice Address - Country:US
Practice Address - Phone:469-272-7000
Practice Address - Fax:469-272-3069
Is Sole Proprietor?:No
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13382111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor