Brim, Kyle
Brim, Kyle is an individual health care provider with primary practice located at 111 S Front St , Harrisburg PA 17101-2010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Brim, Kyle can be contacted via phone (717) 782-3131.Contact Information
Primary practice address
111 S Front St
Harrisburg PA 17101-2010
Phone: (717) 782-3131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | MA060030 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA060030 | Pennsylvania |
Profile Details
| NPI number | 1437639341 |
|---|---|
| LBN Legal business name | Brim, Kyle |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2018 |
| Last updated | Jan 16th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437639341 | NPPES |
| Pennsylvania | Other | OA004579 | OSTEOPATHIC PHYSICIAN ASSISTANT LICENSE |
| Pennsylvania | Other | MA060030 | OSTEOPATHIC PHYSICIAN ASSISTANT LICENSE |
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