Hollenback, Kyle

Hollenback, Kyle is an individual health care provider with primary practice located at 2280 American Legion Blvd , Mountain Home ID 83647-3142. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Hollenback, Kyle can be contacted via phone (208) 587-3988.

Contact Information

Primary practice address
2280 American Legion Blvd Mountain Home ID 83647-3142
Phone: (208) 587-3988
Fax: (208) 587-3324
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1330 Idaho

Profile Details

NPI number 1932574381
LBN Legal business name Hollenback, Kyle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2015
Last updated Feb 19th, 2020 - 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.

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