Individual
MRS. MARCIA ANN KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
146 MISTIC AVE, ROCKPORT, ME 04856-5730
(207) 236-6838
Mailing address
146 MISTIC AVENUE, ROCKPORT, ME 04856
(207) 236-6838
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI158
ME
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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