Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KYLE GROOM, D.O.
ActiveDR. KYLE GROOM, D.O. is a Family Medicine healthcare provider located in DE KALB, Texas. NPI 1063413656 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · DE KALB, TX
Registration Details
- NPI Number
- 1063413656
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2005 (21.027080333763 yrs)
- Last Updated
- Feb 2, 2023
- Licenses
-
L5749 (TX)L5749 (TX)
Practice Information
- Address
-
216 N CENTRE STDE KALB, TX, 755591406Browse TX providers · Browse ZIP 75559
- Phone
- 9036672273
- Fax
- 9036677597
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Emergency Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.