Ronnau, Kyle Joseph

Ronnau, Kyle Joseph is an individual health care provider with primary practice located at 1672 S Woodsage Avenue Suite #120, Meridian ID 83642. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Ronnau, Kyle Joseph can be contacted via phone (208) 515-2273.

Contact Information

Primary practice address
1672 S Woodsage Avenue Suite #120 Meridian ID 83642
Phone: (208) 515-2273
Fax: (208) 515-2274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 55936 Idaho
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X RN-41181 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 55936 Idaho

Profile Details

NPI number 1326584640
LBN Legal business name Ronnau, Kyle Joseph
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2017
Last updated Feb 21st, 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 1326584640 NPPES
Idaho Other 55936 IDAHO STATE BOARD OF NURSING

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