Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle Fog

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013364777

Kyle Fog is a Student in an Organized Health Care Education/Training Program in Walled Lake, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2016
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Walled Lake, MI

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 5302041191 (MI)

Record details

NPI number1013364777
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 23, 2016
Last updated in NPPESMay 23, 2016

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