Anderson, Kyle Preston
Anderson, Kyle Preston is an individual health care provider with primary practice located at 3615 19Th St , Lubbock TX 79410-1203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Anderson, Kyle Preston can be contacted via phone (806) 725-2233.Contact Information
Primary practice address
3615 19Th St
Lubbock TX 79410-1203
Phone: (806) 725-2233
Fax: (806) 725-0053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | N3449 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 204058 | Louisiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 204058 | Louisiana |
Profile Details
| NPI number | 1508072695 |
|---|---|
| LBN Legal business name | Anderson, Kyle Preston |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | Sep 24th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508072695 | NPPES |
| New Mexico | MEDICAID | 985396566 | |
| New Mexico | Other | 8DV404 | |
| New Mexico | Other | 920057100 |
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