Individual
KYLE FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
2001 MELROSE DR APT C, CHAMPAIGN, IL 61820-2016
(507) 360-0909
Mailing address
2001 MELROSE DR APT C, CHAMPAIGN, IL 61820-2016
(507) 360-0909
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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