Individual
MR. KYLE ROBERT HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
10196 STOREY GROVE WAY, WINTER GARDEN, FL 34787-0086
(601) 448-9675
Mailing address
10196 STOREY GROVE WAY, WINTER GARDEN, FL 34787-0086
(601) 448-9675
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5239135
FL
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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