KYLEE BLACK

FORT MYERS, FL
NPI1306539440
Former NameKYLEE ALTENDORF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9117571)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2023-06-02
Last Update Date2023-07-14
Business Address
KYLEE BLACK
9800 S HEALTHPARK DR STE 110
FORT MYERS, FL 33908-3630
Phone number: 239-343-6202
Mailing Address
KYLEE BLACK
4957 13K ST NW
GARRISON, ND 58540-9629
Phone number: 701-720-9348