| Doctor Name: | DR. KYLE F JARNAGIN |
| NPI Number: | 1295831915 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 01062598A |
| Business Practice Address: | 1515 Truemper St Lackland A F B, TX - 782365583 |
| Business Phone Number: | 2102922626 |
| Business Fax Number: | 2102923628 |
| Mailing Address: | 126 Normandy Ave, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782094537 |
| Phone Number: | 2104372315 |
| Fax Number: | 2102923628 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01062598A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |