Healthcare Provider Details

I. General information

NPI: 1407821267
Provider Name (Legal Business Name): JOYCE L KYLE LSCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 E KANSAS AVE
MCPHERSON KS
67460-4826
US

IV. Provider business mailing address

400 S SANTA FE AVE
SALINA KS
67401-4144
US

V. Phone/Fax

Practice location:
  • Phone: 620-241-2300
  • Fax: 620-241-1813
Mailing address:
  • Phone: 785-452-7706
  • Fax: 785-452-7279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1531
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: