Maynard, Kylie Kathleen
Maynard, Kylie Kathleen is an individual health care provider with primary practice located at 409 Illinois Ave Unit 1D , Saint Charles IL 60174-2966. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Maynard, Kylie Kathleen can be contacted via phone (855) 205-4764.Contact Information
Primary practice address
409 Illinois Ave Unit 1D
Saint Charles IL 60174-2966
Phone: (855) 205-4764
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 208000972 | Illinois |
Profile Details
| NPI number | 1194417899 |
|---|---|
| LBN Legal business name | Maynard, Kylie Kathleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2023 |
| Last updated | May 22nd, 2023 - about 2 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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