Individual
TANYA MILLICENT KYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FIELD MEDICAL MA
Contact information
Practice address
512 SHORB AVE NW APT 3, CANTON, OH 44703-2580
(234) 410-4175
Mailing address
PO BOX 20521, CANTON, OH 44701-0521
(234) 410-4175
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E4UO-N515-GC9C
OH
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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