Individual
KYLIE A ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
95 JOHN ST APT A, KINGSTON, PA 18704-3856
(570) 328-4219
Mailing address
95 JOHN ST APT A, KINGSTON, PA 18704-3856
(570) 328-4219
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012298
PA
Other
Enumeration date
01/28/2015
Last updated
03/05/2017
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