Provider Demographics
NPI:1649097890
Name:PIERCE, KYLE MICHAEL
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:MICHAEL
Last Name:PIERCE
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 1:6641 HILLFIELD ST NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-6467
Mailing Address - Country:US
Mailing Address - Phone:330-801-8244
Mailing Address - Fax:
Practice Address - Street 1:6641 HILLFIELD ST NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-6467
Practice Address - Country:US
Practice Address - Phone:330-801-8244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health