Provider Demographics
NPI:1508557885
Name:KYLE, EMILY ANNE (DOULA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNE
Last Name:KYLE
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3437 AMBERWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-0564
Mailing Address - Country:US
Mailing Address - Phone:805-390-5353
Mailing Address - Fax:479-974-2004
Practice Address - Street 1:3437 AMBERWOOD ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-0564
Practice Address - Country:US
Practice Address - Phone:805-390-5353
Practice Address - Fax:479-974-2004
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay