Individual
TERRI L KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
141 W 22ND ST STE 309, ANDERSON, IN 46016-4389
(765) 646-8569
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71003000A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71003000A
IN
363LW0102X
Women's Health Nurse Practitioner
Primary
71003000A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200099400
—
IN
01
—
P01031404
RR MEDICARE PTAN
IN
Enumeration date
07/27/2006
Last updated
03/28/2023
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