Mr. Kyle Short
Mental Health Counselor in Boynton Beach, FL(View on Map)
Full Name
Mr. Kyle Short
NPI Number
1073199048
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/22/2021
Specialties
(Taxonomies)Licenses
State
Florida
License Number
IMH17305
Contact
Information
Purpose
Mailing
Location
Address
2500 QUANTUM LAKES DR STE 105
2500 QUANTUM LAKES DR STE 105
City
Boynton Beach
Boynton Beach
State
FL
FL
Postal Code
33426-8308
33426-8308
Country
US
US
Telephone Number
(561) 770-1780
(561) 770-1780
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/22/2021