Anderson, Kyle

Anderson, Kyle is an individual health care provider with primary practice located at 32270 Telegraph Rd Ste 220B , Bingham Farms MI 48025-2456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Anderson, Kyle can be contacted via phone (248) 480-9080.

Contact Information

Primary practice address
32270 Telegraph Rd Ste 220B Bingham Farms MI 48025-2456
Fax: (248) 480-9081
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301074015 Michigan

Profile Details

NPI number 1952383176
LBN Legal business name Anderson, Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Oct 14th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952383176 NPPES
Other KA074015 CHAMPUS-CHAMPUS
Other 0767220001 CHAMPUS-CHAMPUS
Other 0F31114 CHAMPUS-CHAMPUS
Other 0F33583 CHAMPUS-CHAMPUS
MEDICAID 411776310 CHAMPUS-CHAMPUS
Other 700H262250 CHAMPUS-CHAMPUS
Other KA074015 CHAMPUS-CHAMPUS

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