Sullivan, Kyle
Sullivan, Kyle is an sole proprietor health care provider with primary practice located at 121 W Poplar St Ste A, Walla Walla WA 99362-2871. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sullivan, Kyle can be contacted via phone (509) 525-3522.Contact Information
Primary practice address
121 W Poplar St Ste A
Walla Walla WA 99362-2871
Phone: (509) 525-3522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5366921-9922 | Utah |
| Dental Providers / General Practice | 1223G0001X | DE60083262 | Washington |
Profile Details
| NPI number | 1962558106 |
|---|---|
| LBN Legal business name | Sullivan, Kyle |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2007 |
| Last updated | Apr 6th, 2011 - about 14 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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