Individual
KYLIE NYSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. EP T., CNIM
Contact information
Practice address
750 OLD HICKORY BLVD, BLDG 2, SUITE 150, BRENTWOOD, TN 37027-4528
(615) 392-0466
Mailing address
750 OLD HICKORY BLVD, BLDG 2, SUITE 150, BRENTWOOD, TN 37027-4528
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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