Provider Demographics
NPI:1508002874
Name:HYNES, ANGELA KYLE (AP)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:KYLE
Last Name:HYNES
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2517 W BURR OAK CT
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6104
Mailing Address - Country:US
Mailing Address - Phone:941-539-5004
Mailing Address - Fax:
Practice Address - Street 1:3393 MAGIC OAK LN
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-1821
Practice Address - Country:US
Practice Address - Phone:941-539-5004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2621171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist