Individual
ADAM KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1995 E STATE ST, SALEM, OH 44460-2423
(330) 332-1551
Mailing address
6129 CHIDESTER DR, CANFIELD, OH 44406-9749
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.18913-NA
OH
Other
Enumeration date
05/03/2016
Last updated
05/04/2016
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