Individual
MR. KYLE RAY DRUMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
(316) 400-3535
Mailing address
2379 N CRESTLINE CT, WICHITA, KS 67205-1574
(316) 789-4651
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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