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Shannon Kyle
NPI 1619235363 · on the registry since 2012
Practice
- Address
- 1523 Lou Gene Ave
Louisville, KY 40216 - Phone
- (502) 554-8573
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- KY, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-02
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 Kentucky