Most Relevant Information
Provider Data
| NPI Number: | 1003535790 |
| Provider Name: | KAITLYN LOUISE KYLUS LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 29089 |
Most Important Dates
| Enumeration Date: | 08/25/2022 |
| Last Updated: | 08/25/2022 |
Provider Practice Location
10630 LITTLE PATUXENT PKWY STE 209
COLUMBIA
MD
210446278
Practice Location Phone/Fax
| Phone: | 4107408066 |
| Fax: | 4107408068 |
Provider Mailing Location
10630 LITTLE PATUXENT PKWY STE 209
COLUMBIA
MD
210446278
Provider Mailing Phone/Fax
| Phone: | 4107408066 |
| Fax: | 4107408068 |