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
Phone: (707) 365-3463
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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