Provider Demographics
NPI:1790533719
Name:DOYLE, KYLE J (DC)
Entity type:Individual
Prefix:DR
First Name:KYLE
Middle Name:J
Last Name:DOYLE
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 1:250 10TH ST NE APT 1403
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3713
Mailing Address - Country:US
Mailing Address - Phone:317-306-1453
Mailing Address - Fax:
Practice Address - Street 1:741 PIEDMONT AVE NE STE 300
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-1420
Practice Address - Country:US
Practice Address - Phone:470-922-5799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR011002111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor