Provider Demographics
NPI:1912434515
Name:LEARN, KYLE MITCHELL (DC)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:MITCHELL
Last Name:LEARN
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 1:492 WRANGLER RD
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-6554
Mailing Address - Country:US
Mailing Address - Phone:814-439-0770
Mailing Address - Fax:
Practice Address - Street 1:492 WRANGLER RD
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-6554
Practice Address - Country:US
Practice Address - Phone:814-439-0770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-15
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12158111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor