Provider Demographics
NPI:1255861563
Name:BYL, KENNETH CHARLES
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:CHARLES
Last Name:BYL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 GREEN ST APT 7
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-2274
Mailing Address - Country:US
Mailing Address - Phone:781-789-2039
Mailing Address - Fax:
Practice Address - Street 1:64 GREEN ST APT 7
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-2274
Practice Address - Country:US
Practice Address - Phone:781-789-2039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor