Individual
ATHENA G KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2000 VAN NESS AVE STE 304, SAN FRANCISCO, CA 94109-3020
(415) 563-1616
Mailing address
2000 VAN NESS AVE STE 304, SAN FRANCISCO, CA 94109-3020
(415) 563-1616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10743
CA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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