Dr. Marlyn Andrew Kyle, OD
Optometrist in American Fork, UT. Individual provider (NPI-1).
NPI number1669964359
StatusActive
Last updated in NPPESFeb 12, 2020
Details
- NPI
- 1669964359
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marlyn Andrew Kyle
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 30, 2018
- Certification date
- Feb 12, 2020
- Last updated
- Feb 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 8194025-9934 | UT | Yes |
| 152WS0006X | Optometrist, Sports Vision | 8194025-9934 | UT | |
| 152WX0102X | Optometrist, Occupational Vision | 8194025-9934 | UT | |
| 152WC0802X | Optometrist, Corneal and Contact Management | 8194025-9934 | UT | |
| 152WL0500X | Optometrist, Low Vision Rehabilitation | 8194025-9934 | UT | |
| 152WP0200X | Optometrist, Pediatrics | 8194025-9934 | UT |
Practice location
24 W Main StAmerican Fork, UT 84003-2318
Phone 801-756-7996
Mailing address
24 W Main StAmerican Fork, UT 84003-2318
Phone 801-756-7996
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All 11 Optometrist providers in American Fork · All 1,304 providers in American Fork
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