Wilson, Kyle Douglas
Wilson, Kyle Douglas is an individual health care provider with primary practice located at 61 Westfarms Mall D111, Farmington CT 06032-2631. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilson, Kyle Douglas can be contacted via phone (801) 473-9002.Contact Information
Primary practice address
61 Westfarms Mall D111
Farmington CT 06032-2631
Phone: (801) 473-9002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8674334-9934 | Utah |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2897 | Connecticut |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3124 | Colorado |
Profile Details
| NPI number | 1508207309 |
|---|---|
| LBN Legal business name | Wilson, Kyle Douglas |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2013 |
| Last updated | Jul 24th, 2016 - about 10 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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