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NPI Code Detail

MEDICARE: GENETRICE JAMES-KYLE

MEDICARE: GENETRICE JAMES-KYLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1-123709AL

General Provider Information

NPI Number : 1467144667
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENETRICE JAMES-KYLE
Provider Business Mailing Address
First Line : 4196 HIGHWAY 62 412 STE A
Second Line :
City : HARDY
State : AR
Zip : 72542-8002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4900 20TH AVE
Second Line :
City : VALLEY
State : AL
Zip : 36854-3549
Country : US
Telephone Number : 334-756-5137
Fax Number : 334-756-6523
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2023
Last Update Date : 01/24/2026

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Directions to “ GENETRICE JAMES-KYLE ” Practice Location

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