Addison, Kyle

Addison, Kyle is an sole proprietor health care provider with primary practice located at 6630 Marymonte Ct , San Jose CA 95120-4517. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as his primary health care specialty. Addison, Kyle can be contacted via phone (408) 205-8996.

Contact Information

Primary practice address
6630 Marymonte Ct San Jose CA 95120-4517
Phone: (408) 205-8996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 3649 California

Profile Details

NPI number 1700101540
LBN Legal business name Addison, Kyle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2010
Last updated Apr 5th, 2010 - 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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