Individual
KYLE STEVEN WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC/SLP
Contact information
Practice address
2270 US HWY 74A, SUITE 341, FOREST CITY, NC 28043
(828) 247-1588
(828) 247-1692
Mailing address
2270 US HWY 74A, SUITE 341, FOREST CITY, NC 28043
(828) 247-1588
(828) 247-1692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3596
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138NW
BCBS
—
Enumeration date
08/09/2006
Last updated
07/08/2007
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