Individual
KYLIE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 LAUREL ST, CRESTON, IA 50801-3554
(641) 782-6951
Mailing address
806 LAUREL ST, CRESTON, IA 50801-3554
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25344
IA
183500000X
Pharmacist
25344
KS
Other
Enumeration date
07/28/2025
Last updated
08/01/2025
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