Individual
AMY E KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 PACIFIC AVE S STE C, KELSO, WA 98626-1638
(360) 795-5008
Mailing address
305 PACIFIC AVE S STE C, KELSO, WA 98626-1638
(360) 795-5008
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60989878
WA
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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