Individual
MARIE KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 POPLAR AVE, MEMPHIS, TN 38138-5006
(901) 531-6739
(901) 531-6740
Mailing address
7901 POPLAR AVE, MEMPHIS, TN 38138-5006
(901) 531-6739
(901) 531-6740
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000006397
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6397
DEPARTMENT OF HEALTH LICENSE NUMBER
TN
Enumeration date
07/03/2018
Last updated
07/03/2018
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