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Contact Information

KYLE MAUK, DPM
619 19TH ST S
BIRMINGHAM, AL35233-1900
 Phone: 205-934-4011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KYLE MAUK · (Male)

NPI Number 1639599053
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/24/2014
Last updated 07/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # 399
  • FL License # PR370
  • LA Other 331381 LSBME
Hospital affiliation(s)
  • SHANDS JACKSONVILLE MEDICAL CENTER - (Acute Care)
    655 W 8TH ST
    JACKSONVILLE, FL 32209
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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