Individual
SHANNON STEPHANIE KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 AMBER GROVE DR STE 122, CHICO, CA 95973-5878
(530) 774-2261
Mailing address
120 AMBER GROVE DR STE 122, CHICO, CA 95973-5878
(530) 774-2261
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
07/04/2022
Last updated
10/18/2022
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