# KIRK L. PYLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881638906
- **Authorized official:** KIRK L PYLE (OWNER)
- **Authorized official phone:** (931) 722-5575

## Contact information

- **Practice address:** 118 PUBLIC SQUARE EAST, WAYNESBORO, TN 38485-1202
- **Practice address phone:** (931) 722-5575
- **Practice address fax:** (931) 722-5548
- **Mailing address:** P.O. BOX 1202, 118 PUBLIC SQUARE EAST, WAYNESBORO, TN 38485-1202
- **Mailing address phone:** (931) 722-5575
- **Mailing address fax:** (931) 722-5548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | 291U00000X | TN | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 07/02/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3791125 | — | TN |
| 01 | — | 4072906 | BCBS | TN |