Mickelson, Kyra
Mickelson, Kyra is an individual health care provider with primary practice located at 4192 6Th St Apt 4 , Fort Wainwright AK 99703-1260. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Mickelson, Kyra can be contacted via phone (928) 679-5898.Contact Information
Primary practice address
4192 6Th St Apt 4
Fort Wainwright AK 99703-1260
Phone: (928) 679-5898
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 147040 | Alaska |
Profile Details
| NPI number | 1699430041 |
|---|---|
| LBN Legal business name | Mickelson, Kyra |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2021 |
| Last updated | Nov 1st, 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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