Individual
KYLE FOULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13973 FARMINGTON RD, LIVONIA, MI 48154-5403
(734) 855-4490
Mailing address
13973 FARMINGTON RD, LIVONIA, MI 48154-5403
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2023
Last updated
06/13/2023
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