Individual
MARYELLEN SULLIVAN KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 BEE ST, SUITE 2100, CHARLESTON, SC 29403-5847
(843) 792-6500
(843) 792-6511
Mailing address
PO BOX 751357, CHARLOTTE, NC 28275-1357
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32160
SC
Other
Enumeration date
04/21/2006
Last updated
10/16/2009
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