Shannon Rae Kryla

NPI #1477917169 in Lake Orion, Michigan

Provider Information

NPI Number: 1477917169
Entity Type: Individual
Name: Shannon Rae Kryla
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Apr 8, 2016
Last Updated: Apr 8, 2016

Practice Location

Address: 1060 W SILVERBELL RD
City: Lake Orion
State: Michigan
ZIP Code: 48359-1327
Phone: (248) 845-4082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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