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

Individual provider Orthopaedic Surgery Physician · NPI 1922700301

Kyle Thomas Deivert is an Orthopaedic Surgery Physician in Jackson, Mississippi. Practices as a sole proprietor and works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Medical Center Blvd, Winston Salem, NC 27157-0001 — (336) 716-0423

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence T-5207 (MS)

Record details

NPI number1922700301
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2023
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address2500 N State St, Jackson, MS 39216-4500

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