Individual
MRS. JUDITH ANN KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
11604 BRADY LN, STRONGSVILLE, OH 44149-2837
(440) 212-5954
Mailing address
11604 BRADY LN, STRONGSVILLE, OH 44149-2837
(440) 212-5954
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1351
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1351
STATE LICENSE
OH
Enumeration date
02/16/2012
Last updated
02/16/2012
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