Individual
KYLE ALLEN HERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1065 ASHLEY ST, BOWLING GREEN, KY 42103-3400
(270) 781-5111
(270) 780-0496
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 780-2497
(270) 783-0454
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TC144
KY
Other
Enumeration date
09/24/2012
Last updated
10/27/2015
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