Individual
KYLE VINCENT MASKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, AGANCP-BC
Contact information
Practice address
113 LAVENDER LN, BUDA, TX 78610-3624
(432) 528-8360
Mailing address
113 LAVENDER LN, BUDA, TX 78610-3624
(432) 528-8360
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP129287
TX
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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