Individual
KYLE BISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29875 W 339TH ST, OSAWATOMIE, KS 66064-4159
(417) 415-9814
Mailing address
40182 W 379TH ST, LANE, KS 66042-4168
(417) 415-9814
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KS
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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