Wiedemer, Kyle Michael
Wiedemer, Kyle Michael is an sole proprietor health care provider with primary practice located at 225 Hospital Dr Ste 110 , Winchester KY 40391-7624. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wiedemer, Kyle Michael can be contacted via phone (859) 737-6572.Contact Information
Primary practice address
225 Hospital Dr Ste 110
Winchester KY 40391-7624
Phone: (859) 737-6572
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | TC115 | Kentucky |
Profile Details
| NPI number | 1750905972 |
|---|---|
| LBN Legal business name | Wiedemer, Kyle Michael |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2020 |
| Last updated | Nov 2nd, 2021 - about 5 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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