Individual
MS. KYLE IONA DEMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
9330 BROADWAY, CROWN POINT, IN 46307-8602
(219) 662-5047
Mailing address
9877 NORTHCOTE AVE, ST JOHN, IN 46373-9529
(219) 365-9315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
IL
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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