Individual
KYLEE LANE FURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3042 MCKINLEY AVE, COLUMBUS, OH 43204-3653
(161) 448-7780
Mailing address
7333 JOSHUA TRCE, CANAL WINCHESTER, OH 43110-7002
(304) 210-4060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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