KYLE RYAN FARIS

PEORIA, IL
NPI1588480685
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: IL  209032698)
Enumeration Date2024-11-23
Last Update Date2025-07-12
Business Address
KYLE RYAN FARIS ACNPC-AG
1001 MAIN ST STE 200
PEORIA, IL 61606-2035
Phone number: 309-672-5682
Mailing Address
KYLE RYAN FARIS ACNPC-AG
10210 NE 189TH ST UNIT A
BOTHELL, WA 98011-3836
Phone number: 760-217-8584
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