Krebaum, Kyle J
Krebaum, Kyle J is an sole proprietor health care provider with primary practice located at 1027 Jackson St , Great Bend KS 67530-4219. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Krebaum, Kyle J can be contacted via phone (620) 603-6688.Contact Information
Primary practice address
1027 Jackson St
Great Bend KS 67530-4219
Phone: (620) 603-6688
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5008 | Kansas |
Profile Details
| NPI number | 1740371657 |
|---|---|
| LBN Legal business name | Krebaum, Kyle J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jun 18th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740371657 | NPPES |
| Kansas | MEDICAID | 062259 |
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