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Individual

LANCE KYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1444 KEMPSVILLE RD, VIRGINIA BEACH, VA 23464-7302
(757) 474-7490
(757) 474-7931
Mailing address
PO BOX 5982, VIRGINIA BEACH, VA 23471-0982
(757) 496-3700
(757) 474-7931

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305213819
VA
225100000X
Physical Therapist
CP030290T
DC
225100000X
Physical Therapist
Primary

Other

Enumeration date
10/03/2020
Last updated
03/29/2024
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