Alexander, Andrew Kyle

Alexander, Andrew Kyle is an individual health care provider with primary practice located at 2253 W Mason St , Green Bay WI 54303-4706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Alexander, Andrew Kyle can be contacted via phone (920) 327-7300.

Contact Information

Primary practice address
2253 W Mason St Green Bay WI 54303-4706
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 50089 Wisconsin

Profile Details

NPI number 1780737155
LBN Legal business name Alexander, Andrew Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Nov 18th, 2021 - 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 1780737155 NPPES
Wisconsin MEDICAID 35296600
Wisconsin Other 50089-20

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