Basic Information
| Provider Information | |||||||||
| NPI: | 1881355097 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAMBY | ||||||||
| FirstName: | KYLE | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12925 BYEFIELD DR | ||||||||
| Address2: | |||||||||
| City: | HIGHLAND | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207779543 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2408553468 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8890 CENTRE PARK DR | ||||||||
| Address2: | |||||||||
| City: | COLUMBIA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210452188 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4108846000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2022 | ||||||||
| LastUpdateDate: | 01/10/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | 28717 | MD | N | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 225100000X | 28717 | MD | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.