Hyatt, Kenneth Henry
Hyatt, Kenneth Henry is an individual health care provider with primary practice located at 1 Clinic Road , Challis ID 83226. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Hyatt, Kenneth Henry can be contacted via phone (208) 879-4351.Contact Information
Primary practice address
1 Clinic Road
Challis ID 83226
Phone: (208) 879-4351
Fax: (208) 879-5216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-535 | Idaho |
Profile Details
| NPI number | 1144312513 |
|---|---|
| LBN Legal business name | Hyatt, Kenneth Henry |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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