Individual
KYLEA J ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1683 IRISH RIDGE RD, CAMERON, WV 26033-1970
(304) 780-9755
(304) 843-4461
Mailing address
1683 IRISH RIDGE RD, CAMERON, WV 26033-1970
(304) 780-9755
(304) 843-4461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0897
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000238
—
WV
Enumeration date
04/11/2006
Last updated
11/15/2024
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