Lythgoe, Kevin Jay

Lythgoe, Kevin Jay is an individual health care provider with primary practice located at 530 E Thomas Rd , Phoenix AZ 85012-3204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lythgoe, Kevin Jay can be contacted via phone (602) 351-2229.

Contact Information

Primary practice address
530 E Thomas Rd Phoenix AZ 85012-3204
Phone: (602) 351-2229
Fax: (602) 351-1500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 21855 Arizona

Profile Details

NPI number 1295727253
LBN Legal business name Lythgoe, Kevin Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jan 26th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295727253 NPPES
Arizona Other 860966838 TAX ID
Arizona Other AZ0860720 TAX ID
Arizona MEDICAID 198433 TAX ID
Arizona Other 3372334 TAX ID
Arizona Other 1Z1309 TAX ID

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