Most Relevant Information
Provider Data
| NPI Number: | 1003240094 |
| Provider Name: | KYLE COMBS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/26/2013 |
| Last Updated: | 08/26/2013 |
Provider Practice Location
1040 WALTHAM ST
LEXINGTON
MA
024218033
Practice Location Phone/Fax
| Phone: | 7742622868 |
| Fax: |
Provider Mailing Location
1040 WALTHAM ST
LEXINGTON
MA
024218033
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |