Individual
KYLE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
10525 CLIFTON BLVD APT 3, CLEVELAND, OH 44102-1586
(216) 256-9284
Mailing address
10525 CLIFTON BLVD APT 3, CLEVELAND, OH 44102-1586
(216) 256-9284
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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