NPI Registry.org

Kyle Thomas Deivert

NPI Registration Record

Provider / OrganizationNPIDate Certified
KYLE THOMAS DEIVERT19227003012023-03-20

Kyle Thomas Deivert is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922700301. Registration indicates Kyle Thomas Deivert is a provider of services with a specialization in Orthopaedic Surgery (Allopathic & Osteopathic Physicians, Orthopaedic Surgery) (Specialist Network, ) (Orthopaedic Surgery, Allopathic & Osteopathic Physicians) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Kyle Thomas Deivert
Practice Office Address2500 N STATE ST
JACKSON, MS US
Practice Office Telephone6019841000
Mailing Address2500 N STATE ST
JACKSON, MS 392164500 US
Business Telephone6019841000
Offices / Locations
AddressCity / StatePhone / Fax
1 Medical Center Blvd Winston Salem, NC 271570001 3367160423
HPT Codes
CodePractice
License No
State
207X00000X
Orthopaedic Surgery

Allopathic & Osteopathic Physicians
Orthopaedic Surgery
Specialist Network

Orthopaedic Surgery
Allopathic & Osteopathic Physicians
T-5207
MS
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes
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