National Provider Identifier
Kyle L Mahoney, OTR/L
Kyle L Mahoney, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Clifton Springs, NY and a listed phone number of (315) 462-2569.
Profile Overview
- NPI
- 1154356749
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- July 11, 2006
- Last Updated
- April 28, 2008
Practice Location
- 67 Kendall St
- 420 Clifton Springs Professional Park
- Clifton Springs, NY 14432-9701
Phone: (315) 462-2569
Mailing Address
- 700 Liberty Cmns
- Geneva, NY 14456-2064
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1154356749
- Entity Type
- Individual
- Last Name
- Mahoney
- First Name
- Kyle
- Middle Name
- L
- Name Prefix
- Mr.
- Credential
- OTR/L
- Mailing Street Address
- 700 Liberty Cmns
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-2064
- Mailing Country
- US
- Mailing Phone
- (315) 789-0691
- Practice Street Address
- 67 Kendall St
- Practice Address Line 2
- 420 Clifton Springs Professional Park
- Practice City
- Clifton Springs
- Practice State
- NY
- Practice ZIP Code
- 14432-9701
- Practice Country
- US
- Practice Phone
- (315) 462-2569
- Practice Fax
- (315) 462-2370
- Enumeration Date
- July 11, 2006
- Last Updated
- April 28, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)
- Other Identifiers
- 11334525 (NY, Caqh Provider Id)