Hodges, Kyle Lacy

Hodges, Kyle Lacy is an sole proprietor health care provider with primary practice located at 212 Maple Ave , Oakley KS 67748-1220. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Hodges, Kyle Lacy can be contacted via phone (785) 672-3261.

Contact Information

Primary practice address
212 Maple Ave Oakley KS 67748-1220
Phone: (785) 672-3261
Fax: (785) 672-8194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 147228 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 147228 Kansas

Profile Details

NPI number 1821420126
LBN Legal business name Hodges, Kyle Lacy
Credentials APRN-FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2013
Last updated Apr 3rd, 2020 - about 6 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 1821420126 NPPES
Kansas Other 1679544811 MEDICARE PART A RHC
Kansas MEDICAID 201106750A MEDICARE PART A RHC
Kansas MEDICAID 201106750D MEDICARE PART A RHC

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