Individual
MR. KYLE JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 MENA ST, MENA, AR 71953-3339
(479) 385-1236
(479) 437-3786
Mailing address
605 MENA ST, MENA, AR 71953-3339
(479) 385-1236
(479) 437-3786
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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