Individual
KYLE THOMAS LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25298 LEE HWY, ABINGDON, VA 24211-7460
(276) 698-3104
(276) 698-3110
Mailing address
222 W COYNER AVE, MARION, VA 24354-1904
(757) 618-6098
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213275
VA
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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