Individual
BETTY WANDA KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 CHRISTIAN CIR SE, CONYERS, GA 30013-5823
(770) 679-6245
Mailing address
1180 CHRISTIAN CIR SE, CONYERS, GA 30013-5823
(770) 679-6245
(770) 602-1723
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA CERTIFICATION
GA
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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