Individual
CARA KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
12732 LAKE BLVD, LINDSTROM, MN 55045-9342
(612) 888-4757
(763) 486-1367
Mailing address
PO BOX 674, LINDSTROM, MN 55045-0674
(612) 888-4757
(763) 486-1367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10317
MN
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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