NPI 1003326125

Kyle Wayne Sofia

Practitioner Peer Specialist Kalamazoo, MI

Practice location

Address: 1910 Shaffer St, Kalamazoo, MI 49048-1604
Phone: (269) 382-9820
Fax: (269) 345-7190

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1003326125
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2017
Record last updated: 3 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.