Mary Beth Kyro
Mental Health
105 Hall St Suite A
Traverse City
, Michigan 49684-2288
Mary Beth Kyro
Mental Health
105 Hall St Suite A
Traverse City
, Michigan 49684-2288
(231) 935-4275
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About
Features
Specialties
- Mental Health
Languages spoken
- English
Location
First Address
- Mary Beth Kyro
- 105 Hall St Suite A
- Traverse City, MI
- Zip : 49684-2288
- Fax : (231) 935-4275
- Phone : (231) 935-4159
Second Address
- Mary Beth Kyro
- 105 Hall St Suite A
- Traverse City, MI
- Zip : 49684-2288
- Fax : (231) 935-4275
- Phone : (231) 935-4159
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health | 5201001639 | MI |
National Provider Identifier
| NPI | 1881932499 |
|---|---|
| Provider Name | Mary Beth Kyro |
| First Address | Traverse City, MI 49684-2288 |
| Second Address | Traverse City, MI 49684-2288 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2013 |
| Last Update Date | 17/01/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.