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Individual

KYLIE A ABE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
520 S EAGLE RD STE 2207, MERIDIAN, ID 83642-6354
(208) 381-7335
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
042-0014869
VT
2084N0400X
Neurology Physician
Primary
M-16776
ID
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/26/2016
Last updated
09/15/2022
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