Provider First Line Business Practice Location Address:
1000 HEALTH CENTER ROAD
Provider Second Line Business Practice Location Address:
KYLE HEALTH CENTER / DHHS/IHS
Provider Business Practice Location Address City Name:
KYLE
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57752
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-626-9011
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/18/2005