Provider Demographics
NPI:1356583421
Name:INMAN, RICHARD KYLE (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KYLE
Last Name:INMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2635 N 7TH ST STE 4205
Mailing Address - Street 2:ST. MARY'S HOSPITAL & MEDICAL CENTER
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-8209
Mailing Address - Country:US
Mailing Address - Phone:970-298-7783
Mailing Address - Fax:970-298-2079
Practice Address - Street 1:2635 N 7TH ST STE 4205
Practice Address - Street 2:ST. MARY'S HOSPITAL & MEDICAL CENTER
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8209
Practice Address - Country:US
Practice Address - Phone:970-298-7783
Practice Address - Fax:970-298-2079
Is Sole Proprietor?:No
Enumeration Date:2009-04-03
Last Update Date:2016-08-10
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Provider Licenses
StateLicense IDTaxonomies
CODR.0050934207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO34958258Medicaid