Kylelyne Thayer

NPI 1346825189 · on the registry since 2021 · sole proprietor

Practice

Address: 4542 Kenowa Ave Sw
Grandville, MI 49418
Phone: (616) 667-9713
Fax: (616) 667-9715
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Scott F Browne, O.D., Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: Pharmacy Technician
183700000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan