Van Black, Kyla

Van Black, Kyla is an individual health care provider with primary practice located at 4586 S 116Th Rd , Bolivar MO 65613-8547. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Van Black, Kyla can be contacted via phone (417) 326-2466.

Contact Information

Primary practice address
4586 S 116Th Rd Bolivar MO 65613-8547
Phone: (417) 326-2466
Fax: (417) 326-7739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2015021151 Missouri

Profile Details

NPI number 1689058950
LBN Legal business name Van Black, Kyla
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2015
Last updated Jul 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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