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Organization
KIRK L. PYLE
Active
Organization
KIRK L. PYLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK L PYLE (OWNER)
(931) 722-5575
Entity
Organization
Contact information
Practice address
118 PUBLIC SQUARE EAST, WAYNESBORO, TN 38485-1202
(931) 722-5575
(931) 722-5548
Mailing address
P.O. BOX 1202, 118 PUBLIC SQUARE EAST, WAYNESBORO, TN 38485-1202
(931) 722-5575
(931) 722-5548
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
291U00000X
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3791125
—
TN
01
—
4072906
BCBS
TN
Enumeration date
06/16/2006
Last updated
07/02/2009
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