Individual
KYLA HIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2421 13TH ST NW, CANTON, OH 44708-3116
(330) 588-2212
Mailing address
2421 13TH ST NW, CANTON, OH 44708-3116
(330) 827-9106
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
356956
OH
Other
Enumeration date
12/11/2014
Last updated
12/30/2014
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