Individual
MISS KELLI MARIE KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20175 245TH ST, MC CLELLAND, IA 51548
(402) 320-9886
Mailing address
20175 245TH ST, MC CLELLAND, IA 51548
(402) 320-9886
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
09/09/2022
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