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Individual

DR. ANTONY HENDERSON KYLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
109 GREENVILLE ST SW, AIKEN, SC 29801-3810
(803) 641-9102
(803) 649-4499
Mailing address
389 WOODLAKE DR, AIKEN, SC 29803-5002
(803) 641-7394

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1501
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
571021803
PRACTICE ID
SC
05
GH1501
SC
Enumeration date
03/14/2006
Last updated
02/16/2018
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