Isom, Kyle Gregory

Isom, Kyle Gregory is an sole proprietor health care provider with primary practice located at 6148 Plymouth Ave , Richmond CA 94805-1206. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Isom, Kyle Gregory can be contacted via phone (707) 365-3463.

Contact Information

Primary practice address
6148 Plymouth Ave Richmond CA 94805-1206
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X California

Profile Details

NPI number 1740896638
LBN Legal business name Isom, Kyle Gregory
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2020
Last updated Sep 17th, 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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