Individual
KYLIE HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2404 W 8TH ST, COFFEYVILLE, KS 67337-2931
(913) 213-0676
Mailing address
PO BOX 860063, SHAWNEE, KS 66286-0063
(913) 213-0676
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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