Individual
MR. KYLE LINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, RN, CEN, CPEN
Contact information
Practice address
1600 S 20TH AVE, SAFFORD, AZ 85546-4011
(928) 348-4181
Mailing address
1760 N ELOISA LN, THATCHER, AZ 85552-5579
(928) 322-9652
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN207689
AZ
163WF0300X
Flight Registered Nurse
RN207689
AZ
163WI0500X
Infusion Therapy Registered Nurse
RN207689
AZ
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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