Kyle, Edgar M.

Kyle, Edgar M. is an sole proprietor health care provider with primary practice located at 5124 Falcon Ridge Rd , Roanoke VA 24018-8621. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Kyle, Edgar M. can be contacted via phone (540) 353-6520.

Contact Information

Primary practice address
5124 Falcon Ridge Rd Roanoke VA 24018-8621
Phone: (540) 353-6520
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810000932 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810000932 Virginia

Profile Details

NPI number 1427085505
LBN Legal business name Kyle, Edgar M.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2006
Last updated Mar 4th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427085505 NPPES
Virginia MEDICAID 007705506
Virginia Other 395223
Virginia MEDICAID 007710682
Virginia Other 142969

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