Ardavanis, Kyle Scott
Ardavanis, Kyle Scott is an individual health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98431-1000. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Ardavanis, Kyle Scott can be contacted via phone (253) 968-1790.Contact Information
Primary practice address
9040 Jackson Ave
Tacoma WA 98431-1000
Phone: (253) 968-1790
Fax: (253) 968-1586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 33287 | Nebraska |
Profile Details
| NPI number | 1578020590 |
|---|---|
| LBN Legal business name | Ardavanis, Kyle Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2019 |
| Last updated | Apr 6th, 2021 - about 4 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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