Wickliff, Kyle Allen

Wickliff, Kyle Allen is an individual health care provider with primary practice located at 3850 W Weyburn Rd , Richmond VA 23235-2044. He recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as his primary health care specialty. Wickliff, Kyle Allen can be contacted via phone (540) 729-7407.

Contact Information

Primary practice address
3850 W Weyburn Rd Richmond VA 23235-2044
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 0001263425 Virginia

Profile Details

NPI number 1659028090
LBN Legal business name Wickliff, Kyle Allen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2022
Last updated Mar 6th, 2022 - about 3 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 1659028090 NPPES
Virginia Other 0001263425 RN LICENSE

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