Provider Demographics
NPI:1720208861
Name:BELEK, KYLE ASHER (MD)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:ASHER
Last Name:BELEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2320 WOOLSEY ST STE 202
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1975
Mailing Address - Country:US
Mailing Address - Phone:510-982-6751
Mailing Address - Fax:510-849-6090
Practice Address - Street 1:2320 WOOLSEY ST STE 202
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1975
Practice Address - Country:US
Practice Address - Phone:510-982-6751
Practice Address - Fax:510-849-6090
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA99786208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery