Individual
KYLIE ANNE PALERMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-04843
KS
225100000X
Physical Therapist
Primary
2014023633
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000857
OPTUM
—
01
—
50779012
BCBS-KC
—
01
—
KA2868060
MEDICARE PTAN
KS
01
—
MA4370080
MEDICARE PTAN
MO
01
—
USES NPI
BCBS-KANSAS
KS
Enumeration date
06/30/2014
Last updated
10/09/2014
Update your record
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