Individual
KYLE RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 17TH ST, HUNTINGTON, WV 25701-4235
(304) 529-6031
Mailing address
PO BOX 745, KEARNEYSVILLE, WV 25430-0745
(304) 839-8219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004018
WV
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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