Individual
KYLE DAVID HOLST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CARC, CRPA, NYCPS
Contact information
Practice address
321 W ONONDAGA ST, SYRACUSE, NY 13202-3207
(315) 569-2358
Mailing address
101 DELL ST # 3, SYRACUSE, NY 13210-2101
(315) 569-2358
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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