National Provider Identifier
Kyla Shine, LMSW
Kyla Shine, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 422-2002.
Profile Overview
- NPI
- 1962147272
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- May 02, 2022
- Last Updated
- November 14, 2022
Practice Location
- 1500 Broadway St
- Buffalo, NY 14212-1862
Phone: (716) 422-2002
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1962147272
- Entity Type
- Individual
- Last Name
- Shine
- First Name
- Kyla
- Credential
- LMSW
- Mailing Street Address
- 1500 Broadway St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14212-1862
- Mailing Country
- US
- Mailing Phone
- (716) 422-2002
- Mailing Fax
- (716) 893-0128
- Practice Street Address
- 1500 Broadway St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1862
- Practice Country
- US
- Practice Phone
- (716) 422-2002
- Enumeration Date
- May 02, 2022
- Last Updated
- November 14, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 14, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)