Individual
KYLIE ANN JANK
Active
Individual
KYLIE ANN JANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP-T
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
03244-T
KS
103TC0700X
Clinical Psychologist
Primary
03244-T
KS
Other
Enumeration date
07/21/2023
Last updated
11/30/2023
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