Individual
MR. KYLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12532 TANNERS CT, CHARLOTTE, NC 28262-1595
(704) 622-3270
Mailing address
12532 TANNERS CT, CHARLOTTE, NC 28262-1595
(704) 622-3270
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC5385
NC
385H00000X
Respite Care
HC5385
NC
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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