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Individual
KYLE HERINK
Active
Individual
KYLE HERINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
TZ181696
OH
Other
Enumeration date
11/13/2014
Last updated
11/29/2021
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