Correll, Kyle Nathaniel
Correll, Kyle Nathaniel is an individual health care provider with primary practice located at 320 N Clyde Morris Blvd , Daytona Beach FL 32114-2744. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Correll, Kyle Nathaniel can be contacted via phone (386) 238-3242.Contact Information
Primary practice address
320 N Clyde Morris Blvd
Daytona Beach FL 32114-2744
Phone: (386) 238-3242
Fax: (386) 238-3223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | ME130000 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME130000 | Florida |
Profile Details
| NPI number | 1093195398 |
|---|---|
| LBN Legal business name | Correll, Kyle Nathaniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2015 |
| Last updated | Aug 22nd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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