Farnsworth, Kyle J
Farnsworth, Kyle J is an individual health care provider with primary practice located at 102 Sea Island Pkwy Suite J, Beaufort SC 29907-1563. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Farnsworth, Kyle J can be contacted via phone (843) 986-0157.Contact Information
Primary practice address
102 Sea Island Pkwy Suite J
Beaufort SC 29907-1563
Phone: (843) 986-0157
Fax: (843) 379-0157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3813 | South Carolina |
Profile Details
| NPI number | 1528106705 |
|---|---|
| LBN Legal business name | Farnsworth, Kyle J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | May 14th, 2012 - about 14 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 | 1528106705 | NPPES |
| South Carolina | MEDICAID | ZX3813 | |
| South Carolina | Other | 80-0200600 |
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