Provider Demographics
NPI:1821330242
Name:BARON, KYLE T (MD)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:T
Last Name:BARON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1327
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03247-1327
Mailing Address - Country:US
Mailing Address - Phone:603-524-3211
Mailing Address - Fax:603-527-7038
Practice Address - Street 1:345 NH ROUTE 104
Practice Address - Street 2:NEW HAMPTON FAMILY PRACTICE
Practice Address - City:NEW HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03256-4244
Practice Address - Country:US
Practice Address - Phone:603-744-5377
Practice Address - Fax:603-744-8165
Is Sole Proprietor?:No
Enumeration Date:2013-03-24
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
NH17610207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program