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Individual

MR. KYLE ANDREW LEBARRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4216 MACCORKLE AVE SE STE 4, CHARLESTON, WV 25304-2539
(304) 926-0913
(304) 926-0914
Mailing address
4216 MACCORKLE AVE SE STE 4, CHARLESTON, WV 25304-2539
(304) 926-0913
(304) 926-0914

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003884
WV

Other

Enumeration date
05/18/2021
Last updated
05/18/2021
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