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Kyle Thomas Herout, DO
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1427625219

Kyle Thomas Herout is a Student in an Organized Health Care Education/Training Program based in Modesto, CA. Kyle Thomas Herout practices in Modesto, CA and has the professional credentials of DO. The NPI Number for Kyle Thomas Herout is 1427625219 and holds a License No. (California).

The current practice location address for Kyle Thomas Herout is 4601 Dale Rd, Modesto, CA and can be reached out via phone at 209-735-5000.

Location: 4601 Dale Rd, Modesto, CA, 95356-9718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427625219
Provider Name
Kyle Thomas Herout
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4601 Dale Rd, Modesto, CA, 95356-9718
Phone Number
209-735-5000
Fax Number
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4601 Dale Rd
City
Modesto
State
California
Zip
95356-9718
Phone Number
209-735-5000
Fax Number
person
Provider Business Mailing Address Details
Address
4601 Dale Rd
City
Modesto
State
California
Zip
95356-9718
Phone Number
209-735-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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