Provider Demographics
NPI:1649086810
Name:WEBB, KYLE HALL (DC)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:HALL
Last Name:WEBB
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 1:8501 CAMINO MEDIA STE 200
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1357
Mailing Address - Country:US
Mailing Address - Phone:661-665-1800
Mailing Address - Fax:
Practice Address - Street 1:8501 CAMINO MEDIA STE 200
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1357
Practice Address - Country:US
Practice Address - Phone:661-656-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36777111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor