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General NPI Number Information
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NPI Number | 1972154532
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Entity Type | Individual
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Provider Name | KYLA KEEFE
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Gender | Female
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 10803 FALLS RD
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City | LUTHERVILLE
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State | MD
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Zip | 21093-4518
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Country | US
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Telephone | 410-583-2666
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE FL 2
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-933-2700
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Fax | 410-933-1390
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 27676
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License Number State | MD
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