Matsumura, Kyle Shigeru

Matsumura, Kyle Shigeru is an individual health care provider with primary practice located at 6750 S Highland Drive Ste 100, Cottonwood Heights UT 84121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Matsumura, Kyle Shigeru can be contacted via phone (801) 685-7246.

Contact Information

Primary practice address
6750 S Highland Drive Ste 100 Cottonwood Heights UT 84121
Phone: (801) 685-7246
Fax: (801) 747-5487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 951306801205 Utah

Profile Details

NPI number 1619907490
LBN Legal business name Matsumura, Kyle Shigeru
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Mar 7th, 2023 - about 3 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 1619907490 NPPES
Utah MEDICAID D5367
Utah Other G79891
Utah Other 951306801205

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