Individual
KYTON JURNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-6093
(575) 527-5886
Mailing address
1500 S AVE K, STATION 3, SHROC, PORTALES, NM 88130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2024-0173
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2021
Last updated
12/11/2024
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