Individual
MR. THOMAS DESHAWN KYLES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3829 LAKEHURST DR APT 204, COLORADO SPRINGS, CO 80916-3419
(773) 875-4417
(773) 875-4417
Mailing address
3829 LAKEHURST DR APT 204, COLORADO SPRINGS, CO 80916-3419
(773) 875-4417
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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