Kyle Spencer, KCPM

NPI #1952852147 in Wichita, Kansas

Provider Information

NPI Number: 1952852147
Entity Type: Individual
Name: Kyle Spencer, KCPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: KCPM
Enumeration Date: Oct 22, 2016
Last Updated: Oct 22, 2016

Practice Location

Address: 2017 S CHAUTAUQUA AVE
City: Wichita
State: Kansas
ZIP Code: 67211-5615
Phone: (316) 312-8557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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