KYLE HAZELWOOD MD PLLC - NPI 1952831083 - Orthopaedic Surgery in Pullman, WA

Q: What is Kyle Hazelwood MD PLLC's NPI number?

The NPI number for Kyle Hazelwood MD PLLC is 1952831083. It was assigned to this organization in the NPPES registry on June 12, 2017.

Q: What is Kyle Hazelwood MD PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

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About Kyle Hazelwood Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE HAZELWOOD MD PLLC (NPI 1952831083) is a healthcare organization registered as a sports medicine in Pullman, Washington and active in the NPI registry since June 2017. The organization maintains a secondary practice location in Moscow and lists Kyle Hazelwood, Physician, as its authorized official.

NPPES Registry Identity

NPI1952831083

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameKYLE HAZELWOOD MD PLLC

Location Address825 SE BISHOP BLVD STE 120Pullman, WA 99163-5517

Mailing Address825 Se Bishop Blvd Ste 120Pullman, WA 99163-5517 · (509) 332-2828

Phone(509) 332-2828

Organization SubpartNo

Authorized OfficialKyle HazelwoodPhysician · (509) 332-2828

Enumeration DateJune 12, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1952831083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

825 SE BISHOP BLVD STE 120, Pullman, WA 99163

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Secondary Practice Location 1

Location 12500 W A St Ste 201Moscow, ID 83843-6000 · Phone (208) 883-2828

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWIN M. TINGSTAD, MD PLLC

Orthopaedic Surgery