Individual
DR. TRACYE DENISE KYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5220 PARK AVE, SUITE 100, MEMPHIS, TN 38119
(901) 685-8245
(901) 685-8248
Mailing address
P.O. BOX 405827, ATLANTA, GA 30384-5827
(870) 934-5821
(870) 934-5384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
026279
LA
207R00000X
Internal Medicine Physician
Primary
44506
TN
208000000X
Pediatrics Physician
026279
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1055531
—
LA
Enumeration date
11/21/2006
Last updated
05/26/2011
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