Kyle Klooster
Oral and Maxillofacial Surgeon
7633 E Jefferson Ave Suite 70
Detroit
, Michigan 48214-3730
Kyle Klooster
Oral and Maxillofacial Surgeon
7633 E Jefferson Ave Suite 70
Detroit
, Michigan 48214-3730
(313) 499-4953
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Kyle Klooster
- 7633 E Jefferson Ave Suite 70
- Detroit, MI
- Zip : 48214-3730
- Fax : (313) 499-4953
- Phone : (313) 499-4775
Second Address
- Kyle Klooster
- 7633 E Jefferson Ave Suite 70
- Detroit, MI
- Zip : 48214-3730
- Fax : (313) 499-4953
- Phone : (313) 499-4775
Reviews
FAQs
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Is Kyle Klooster a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2901020443 | MI |
National Provider Identifier
| NPI | 1053608752 |
|---|---|
| Provider Name | Kyle Klooster |
| First Address | Detroit, MI 48214-3730 |
| Second Address | Detroit, MI 48214-3730 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2011 |
| Last Update Date | 29/03/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.