Provider Demographics
NPI:1467101311
Name:STRODA, KYLE STEVEN (DO)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:STEVEN
Last Name:STRODA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 S DIXIELAND RD APT F102
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-0010
Mailing Address - Country:US
Mailing Address - Phone:225-955-0443
Mailing Address - Fax:
Practice Address - Street 1:4000 S DIXIELAND RD APT F102
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-0010
Practice Address - Country:US
Practice Address - Phone:225-955-0443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-19
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program