Richter, Kyle M.

Richter, Kyle M. is an individual health care provider with primary practice located at 2529 Ne 139Th St , Vancouver WA 98686-2719. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Richter, Kyle M. can be contacted via phone (360) 882-2778.

Contact Information

Primary practice address
2529 Ne 139Th St Vancouver WA 98686-2719
Phone: (360) 882-2778
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004033 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004033 Washington

Profile Details

NPI number 1093751703
LBN Legal business name Richter, Kyle M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Dec 7th, 2022 - about 4 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 1093751703 NPPES
Washington MEDICAID 8355224

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