Individual
KYLIE B SEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 PINECREST, JACKSON, MO 63755-8465
(573) 986-8109
Mailing address
121 PINECREST, JACKSON, MO 63755-8465
(573) 986-8109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSI797999868
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/07/2018
Last updated
11/07/2018
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