Provider Information for 1093435950
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Mr. KYLE EUGENE YODER LPC
Sex: Male
NPI: 1093435950
Last Updated: 2022-08-31
Certification Date: 2022-08-31
Certification Date: 2022-08-31
Details
| Name | Value | ||||||||
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| NPI | 1093435950 | ||||||||
| Enumeration Date | 2022-08-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1409 MAXWELL HILL RD BECKLEY, WV 25801-2325 United States Phone: 602-402-4185 | Fax: | ||||||||
| Primary Practice Address | 1409 MAXWELL HILL RD BECKLEY, WV 25801-2325 United States Phone: 602-402-4185 | Fax: | ||||||||
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