Individual
DR. MARLYN ANDREW KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
24 W MAIN ST, AMERICAN FORK, UT 84003-2318
(801) 756-7996
Mailing address
24 W MAIN ST, AMERICAN FORK, UT 84003-2318
(801) 756-7996
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8194025-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
8194025-9934
UT
152WL0500X
Low Vision Rehabilitation Optometrist
8194025-9934
UT
152WP0200X
Pediatric Optometrist
8194025-9934
UT
152WS0006X
Sports Vision Optometrist
8194025-9934
UT
152WX0102X
Occupational Vision Optometrist
8194025-9934
UT
Other
Enumeration date
05/30/2018
Last updated
02/12/2020
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