Individual
DR. JACOB KENNETH LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
440 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-8406
(270) 338-8407
Mailing address
2306 MEADOWHILL LN, UTICA, KY 42376-9069
(615) 389-3062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018837
KY
183500000X
Pharmacist
40170
TN
390200000X
Student in an Organized Health Care Education/Training Program
S10624
AL
Other
Enumeration date
05/02/2013
Last updated
05/27/2020
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