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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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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