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Individual

SHANNON MARIE KYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1523 LOU GENE AVE, LOUISVILLE, KY 40216-5421
(502) 554-8573
Mailing address
1523 LOU GENE AVE, LOUISVILLE, KY 40216-5421
(502) 554-8573

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016210
KY
183500000X
Pharmacist
26024768A
IN

Other

Enumeration date
05/01/2012
Last updated
07/02/2015
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