White, Kyle

White, Kyle is an individual health care provider with primary practice located at 2530 E Wilcox Dr , Sierra Vista AZ 85635-2843. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. White, Kyle can be contacted via phone (520) 229-2080.

Contact Information

Primary practice address
2530 E Wilcox Dr Sierra Vista AZ 85635-2843
Fax: (520) 229-2092
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP9911 Arizona

Profile Details

NPI number 1497293328
LBN Legal business name White, Kyle
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2017
Last updated Apr 29th, 2020 - about 6 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 1497293328 NPPES
Arizona MEDICAID 344356

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