Individual
KAY LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33880 COMMUNITY COLLEGE DR STE 1, SOLDOTNA, AK 99669-9234
(907) 262-0893
(907) 262-0891
Mailing address
PO BOX 879455, WASILLA, AK 99687-9455
(907) 262-0893
(907) 262-0891
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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