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

Mr. Kyle Paul Blomgren, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578021895

Mr. Kyle Paul Blomgren, DO is a Student in an Organized Health Care Education/Training Program in Fayetteville, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone: (910) 615-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1578021895
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 5, 2019
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021

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