Kyla Van Black

NPI #1689058950 in Bolivar, Missouri

Provider Information

NPI Number
1689058950
Entity Type
Individual
Name
Kyla Van Black
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jul 16, 2015
Last Updated
Jul 16, 2015

Practice Location

Address
4586 S 116TH RD
ZIP Code
65613-8547
Phone
(417) 326-2466

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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