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Individual

KYLE FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5661 3RD ST NE APT 476, WASHINGTON, DC 20011-2574
(580) 919-1540
Mailing address
1010 58TH AVE, FAIRMOUNT HEIGHTS, MD 20743-1360
(580) 919-1540

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
DC

Other

Enumeration date
03/25/2022
Last updated
03/25/2022
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