Debenham, Kyle Windsor

Debenham, Kyle Windsor is an individual health care provider with primary practice located at 180 Maple Ave W , Vienna VA 22180-5727. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Debenham, Kyle Windsor can be contacted via phone (703) 938-5300.

Contact Information

Primary practice address
180 Maple Ave W Vienna VA 22180-5727
Phone: (703) 938-5300
Fax: (703) 242-0726
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5578A Wyoming
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 41491 Montana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101266146 Virginia

Profile Details

NPI number 1225067325
LBN Legal business name Debenham, Kyle Windsor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated May 23rd, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225067325 NPPES
Wyoming MEDICAID 106133017

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